Doctor Name: | MRS. CARISSA KELLY KEIRSEY |
NPI Number: | 1427387182 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, LPC |
License Number: | A0912128 |
Business Practice Address: | 875 W. Moreno Colorado Springs, CO - 80905 |
Business Phone Number: | 7195726100 |
Business Fax Number: | 5013162221 |
Mailing Address: | 220 Ruskin Drive, COLORADO SPRINGS |
State: | CO |
Postal Code: | 80910 |
Phone Number: | 7195726100 |
Fax Number: | |
NPI Enumeration Date: | 12/09/2009 |
NPI Last Update Date: | 03/10/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | A0912128 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AR |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |