| NPI | 1053478271 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY JANE VALDEZ Licensed Professional Counselor 719-589-2974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 1446) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 620) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2020-08-22 |