Provider Demographics
NPI:1598473407
Name:RUHL, KELLI LYNN (MA, LPCC, NCC)
Entity Type:Individual
Prefix:
First Name:KELLI
Middle Name:LYNN
Last Name:RUHL
Suffix:
Gender:F
Credentials:MA, LPCC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 S MADISON AVE
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:CO
Mailing Address - Zip Code:80027-9789
Mailing Address - Country:US
Mailing Address - Phone:970-275-4098
Mailing Address - Fax:
Practice Address - Street 1:3801 E FLORIDA AVE STE 650
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80210-2562
Practice Address - Country:US
Practice Address - Phone:888-233-1553
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-09
Last Update Date:2022-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPCC.0019623101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional