CHARLIE ELIZA BOUTILLETTE

ALAMOSA, CO
NPI1508990086
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: CO  1725)
Enumeration Date2007-03-15
Last Update Date2024-09-18
Business Address
CHARLIE ELIZA BOUTILLETTE LPC MA
200 ROSS AVE
ALAMOSA, CO 81101-2451
Phone number: 719-589-2786
Mailing Address
CHARLIE ELIZA BOUTILLETTE LPC MA
200 ROSS AVE
ALAMOSA, CO 81101-2451
Phone number: 719-589-2786