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NPI Code Detail

MEDICARE: KRISTIN MARGARET ETZEL

MEDICARE: KRISTIN MARGARET ETZEL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional CounselorLPCC.0022985CO

General Provider Information

NPI Number : 1598603888
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTIN MARGARET ETZEL
Provider Business Mailing Address
First Line : 7408 SINGING HILLS DR UNIT K
Second Line :
City : BOULDER
State : CO
Zip : 80301-3768
Country : US
Telephone Number : 832-755-0772
Fax Number :
Provider Business Practice Location Address
First Line : 777 29TH ST STE 500
Second Line :
City : BOULDER
State : CO
Zip : 80303-2357
Country : US
Telephone Number : 720-551-8074
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2026
Last Update Date : 03/25/2026

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Directions to “ KRISTIN MARGARET ETZEL ” Practice Location

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