Most Relevant Information
Provider Data
| NPI Number: | 1003469511 |
| Provider Name: | KELLY J ECHOLS LPC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | 15493 |
Most Important Dates
| Enumeration Date: | 07/23/2019 |
| Last Updated: | 07/23/2019 |
Provider Practice Location
400 W MIDLAND AVE STE 155
WOODLAND PARK
CO
808633196
Practice Location Phone/Fax
| Phone: | 7196508114 |
| Fax: |
Provider Mailing Location
PO BOX 153
WOODLAND PARK
CO
808660153
Provider Mailing Phone/Fax
| Phone: | 7192385800 |
| Fax: |