Doctor Name: | MS. KIMBERLY A. REIL |
NPI Number: | 1124362140 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | ACB.0008023 |
Business Practice Address: | 6916 Highway 82 Glenwood Springs, CO - 816019435 |
Business Phone Number: | 9709452583 |
Business Fax Number: | 9709288852 |
Mailing Address: | 715 Horizon Dr, Ste 225 GRAND JUNCTION |
State: | CO |
Postal Code: | 815068700 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 11/15/2012 |
NPI Last Update Date: | 03/16/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | ACB.0008023 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |