Healthcare Provider Details

I. General information

NPI: 1043365745
Provider Name (Legal Business Name): KIRSTEN LYNN WULFSBERG LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MS. KIRSTEN LYNN WULFSBERG

II. Dates (important events)

Enumeration Date: 01/24/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2465 SOUTH DOWNING ST SUITE 110
DENVER CA
80210
US

IV. Provider business mailing address

2465 SOUTH DOWNING ST SUITE 110
DENVER CA
80210
US

V. Phone/Fax

Practice location:
  • Phone: 303-778-5774
  • Fax: 303-778-2436
Mailing address:
  • Phone: 303-778-5774
  • Fax: 303-778-2436

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number2943
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: