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NPI Code Detail

MEDICARE: KIRSTEN LYNN KUNKLE LPC, LMFT

MEDICARE: KIRSTEN LYNN KUNKLE LPC, LMFT
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 Counselor4177CO
2106H00000XMarriage & Family Therapist732CO

General Provider Information

NPI Number : 1780761304
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIRSTEN LYNN KUNKLE LPC, LMFT
Provider Business Mailing Address
First Line : 11059 E BETHANY DR STE 200
Second Line :
City : AURORA
State : CO
Zip : 80014-2637
Country : US
Telephone Number : 303-617-2300
Fax Number :
Provider Business Practice Location Address
First Line : 1646 ELMIRA ST
Second Line :
City : AURORA
State : CO
Zip : 80010-2122
Country : US
Telephone Number : 303-617-2840
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2006
Last Update Date : 09/11/2025

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