Most Relevant Information
Provider Data
| NPI Number: | 1003242611 |
| Provider Name: | KIMBERLY ANNE SUTHERLAND M.ED, CAC III |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: | 1707-01 |
Most Important Dates
| Enumeration Date: | 09/16/2013 |
| Last Updated: | 09/16/2013 |
Provider Practice Location
1960 S SHERMAN ST
DENVER
CO
802104014
Practice Location Phone/Fax
| Phone: | 7203240008 |
| Fax: |
Provider Mailing Location
2105 E VIRGINIA AVE
DENVER
CO
802092721
Provider Mailing Phone/Fax
| Phone: | 7203240008 |
| Fax: |