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Provider Information for 1740835768


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KELSEY H. GOSS


Sex: Female

NPI: 1740835768
Last Updated: 2024-09-26
Certification Date: 2024-09-26

Details

NameValue
NPI1740835768
Enumeration Date2019-08-06
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 12081 W ALAMEDA PKWY # 263
LAKEWOOD, CO 80228-2701
United States

Phone: | Fax:
 
Primary Practice Address 12081 W ALAMEDA PKWY # 263
LAKEWOOD, CO 80228-2701
United States

Phone: 970-988-1347 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
CONNECT URL
https://cto.reliatrax.net
Direct CSV 7585 W 66th Ave Ste C
Arvada, CO 80003-3970
United States
CONNECT URL
www.creativetreatmentoptions.com
Direct CSV 7585 W 66th Ave Ste C
Arvada, CO 80003-3970
United States
Direct Messaging Address
kelsey@kgcounselingcon.com
12081 W Alameda Pkwy
Lakewood, CO 80228-2701
United States
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101YP2500X - Counselor - ProfessionalCOLPC.0019197