| Crystal Clear Christian Counseling Services | |
|
2612 Ivywood Ln Pueblo CO 81004-3642 | |
| (719) 778-9208 | |
| Not Available |
| Full Name | Crystal Clear Christian Counseling Services |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2612 Ivywood Ln, Pueblo, Colorado |
| Authorized Official Name and Position | Rosalinda Pena (MENTAL HEALTH COUNSELOR) |
| Authorized Official Contact | 7197789208 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crystal Clear Christian Counseling Services 2612 Ivywood Ln Pueblo CO 81004-3642 Ph: (719) 778-9208 | Crystal Clear Christian Counseling Services 2612 Ivywood Ln Pueblo CO 81004-3642 Ph: (719) 778-9208 |
| NPI Number | 1508300344 |
|---|---|
| Provider Enumeration Date | 12/13/2016 |
| Last Update Date | 12/13/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508300344 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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