Most Relevant Information
Provider Data
| NPI Number: | 1003470139 |
| Provider Name: | KIM ANN MERRILL MA, LPC, NCC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | 0000914 |
Most Important Dates
| Enumeration Date: | 04/24/2019 |
| Last Updated: | 04/24/2019 |
Provider Practice Location
6658 GUNPARK DR STE 201
BOULDER
CO
803013375
Practice Location Phone/Fax
| Phone: | 3039316052 |
| Fax: |
Provider Mailing Location
13915 SHANNON DR
BROOMFIELD
CO
800234245
Provider Mailing Phone/Fax
| Phone: | 7204329955 |
| Fax: |