Provider Information for 1619211158
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DANA L KRUMHOLZ MA, LPC, LAC
Sex: Female
NPI: 1619211158
Last Updated: 2024-11-20
Certification Date: 2024-11-20
Certification Date: 2024-11-20
Details
| Name | Value | ||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1619211158 | ||||||||||||||||
| Enumeration Date | 2012-11-21 | ||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||
| Sole Proprietor | NO | ||||||||||||||||
| Status | Active | ||||||||||||||||
| Mailing Address | 5401 W 10TH ST GREELEY, CO 80634-4459 United States Phone: 970-357-6364 | Fax:970-346-9800 | ||||||||||||||||
| Primary Practice Address | 5401 W 10TH ST STE 200 GREELEY, CO 80634-4468 United States Phone: 970-310-3406 | Fax:970-346-9800 | ||||||||||||||||
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