Provider Demographics
NPI:1306651583
Name:WURZBURG, KRISTIN ALYSSA (MFTC)
Entity type:Individual
Prefix:
First Name:KRISTIN
Middle Name:ALYSSA
Last Name:WURZBURG
Suffix:
Gender:F
Credentials:MFTC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 16TH ST STE 1460
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80202-5202
Mailing Address - Country:US
Mailing Address - Phone:720-837-1241
Mailing Address - Fax:
Practice Address - Street 1:110 16TH ST STE 1460
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80202-5202
Practice Address - Country:US
Practice Address - Phone:720-837-1241
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-12
Last Update Date:2025-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COMFTC.0014758106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist