Provider Demographics
NPI:1043365745
Name:WULFSBERG, KIRSTEN LYNN (LPC)
Entity Type:Individual
Prefix:MS
First Name:KIRSTEN
Middle Name:LYNN
Last Name:WULFSBERG
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MS
Other - First Name:KIRSTEN
Other - Middle Name:LYNN
Other - Last Name:WULFSBERG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2465 SOUTH DOWNING ST
Mailing Address - Street 2:SUITE 110
Mailing Address - City:DENVER
Mailing Address - State:CA
Mailing Address - Zip Code:80210
Mailing Address - Country:US
Mailing Address - Phone:303-778-5774
Mailing Address - Fax:303-778-2436
Practice Address - Street 1:2465 SOUTH DOWNING ST
Practice Address - Street 2:SUITE 110
Practice Address - City:DENVER
Practice Address - State:CA
Practice Address - Zip Code:80210
Practice Address - Country:US
Practice Address - Phone:303-778-5774
Practice Address - Fax:303-778-2436
Is Sole Proprietor?:No
Enumeration Date:2007-01-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2943101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor