Provider Demographics
NPI:1467741223
Name:FINKILL, CARRIE L (MA, LPC, LSC, NCC)
Entity Type:Individual
Prefix:
First Name:CARRIE
Middle Name:L
Last Name:FINKILL
Suffix:
Gender:F
Credentials:MA, LPC, LSC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:875 WOODMOOR ACRES DR
Mailing Address - Street 2:
Mailing Address - City:MONUMENT
Mailing Address - State:CO
Mailing Address - Zip Code:80132-7456
Mailing Address - Country:US
Mailing Address - Phone:719-481-3167
Mailing Address - Fax:
Practice Address - Street 1:225 S ACADEMY BLVD
Practice Address - Street 2:SUITE 104C
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80910-2768
Practice Address - Country:US
Practice Address - Phone:719-471-0800
Practice Address - Fax:719-471-0808
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-01
Last Update Date:2014-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0011504101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional