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NPI Code Detail

MEDICARE: KELSIE BOSS LPCC

MEDICARE:   KELSIE  BOSS  LPCC
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
1101YM0800XMental Health CounselorLPCC.0020217CO

General Provider Information

NPI Number : 1922717354
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELSIE BOSS LPCC
Provider Business Mailing Address
First Line : 1418 N FRANKLIN ST
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80907-7718
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1418 N FRANKLIN ST
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80907-7718
Country : US
Telephone Number : 616-644-7220
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/15/2022
Last Update Date : 11/15/2022

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Directions to “ KELSIE BOSS LPCC” Practice Location

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