| NPI | 1962231662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAEL ESQUIBEL Licensed Mental Health Counselor 970-616-4425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| Enumeration Date | 2024-07-30 |
| Last Update Date | 2024-07-30 |