MEDICARE: DR. KIMBERLY J STOKKA LMFT, LPC

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
1	101YP2500X	Professional Counselor	3345	CO
2	106H00000X	Marriage & Family Therapist	639	CO

General Provider Information

NPI Number	:	1598920993
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KIMBERLY J STOKKA LMFT, LPC

Provider Business Mailing Address
First Line	:	4550 CHERRY CREEK SOUTH DR
Second Line	:	#804
City	:	DENVER
State	:	CO
Zip	:	80246-1554
Country	:	US
Telephone Number	:	720-261-3342
Fax Number	:

Provider Business Practice Location Address
First Line	:	4550 CHERRY CREEK SOUTH DR
Second Line	:	#804
City	:	DENVER
State	:	CO
Zip	:	80246-1554
Country	:	US
Telephone Number	:	720-261-3342
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/24/2008
Last Update Date	:	07/24/2008

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