| Michael J. Vallejo, Lcsw | |
|
6745 Rangewood Dr Ste 108 Colorado Springs CO 80918-7332 | |
| (503) 728-6211 | |
| Not Available |
| Full Name | Michael J. Vallejo, Lcsw |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 6745 Rangewood Dr Ste 108, Colorado Springs, Colorado |
| Authorized Official Name and Position | Michael John Vallejo (OWNER) |
| Authorized Official Contact | 5037286211 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael J. Vallejo, Lcsw 6745 Rangewood Dr Ste 108 Colorado Springs CO 80918-7332 Ph: (503) 728-6211 | Michael J. Vallejo, Lcsw 6745 Rangewood Dr Ste 108 Colorado Springs CO 80918-7332 Ph: (503) 728-6211 |
| NPI Number | 1588258057 |
|---|---|
| Provider Enumeration Date | 02/25/2021 |
| Last Update Date | 04/16/2021 |
| Certification Date | 04/16/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588258057 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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