Individual provider · Type 1 NPI

Kyle David Mickey

Addiction (Substance Use Disorder) Counselor · Aurora, CO

NPI number 1104074376 Active

Practice location

1455 Beeler St
Aurora, CO 80010-3027

Call (303) 360-6014 Map

Mailing address

11111 Alcott St Apt A
Westminster, CO 80234-3180

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1104074376

Kyle David Mickey's National Provider Identifier is 1104074376, issued on Aug 30, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Aurora, CO. The record was last updated on Aug 30, 2008.