| Creating Change Counseling And Education, Llc | |
|
139 Regency Blvd Pueblo CO 81005-2127 | |
| (719) 470-1715 | |
| Not Available |
| Full Name | Creating Change Counseling And Education, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 139 Regency Blvd, Pueblo, Colorado |
| Authorized Official Name and Position | Angela Sillas-green (OWNER/LICENSED PROFESSIONAL COUNSEL) |
| Authorized Official Contact | 7195803079 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creating Change Counseling And Education, Llc 1021 N. Market Plz, Ste.107, #531 Pueblo West CO 81007 Ph: () - | Creating Change Counseling And Education, Llc 139 Regency Blvd Pueblo CO 81005-2127 Ph: (719) 470-1715 |
| NPI Number | 1245925411 |
|---|---|
| Provider Enumeration Date | 04/05/2023 |
| Last Update Date | 04/24/2023 |
| Certification Date | 04/24/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245925411 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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