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Organization
REVEAL TO HEAL COUNSELING
Active
Organization
REVEAL TO HEAL COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TINA MARIE SALVATIERRA LCSW (OWNER/COUNSELOR)
(719) 646-9259
Entity
Organization
Contact information
Practice address
731 N WEBER ST, COLORADO SPRINGS, CO 80903-1049
(719) 425-9661
(719) 633-3023
Mailing address
7990 WOODY CREEK DR, COLORADO SPRINGS, CO 80911-8331
(719) 646-9259
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW.00001771
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CSW.00001771
LCSW
CO
Enumeration date
12/05/2017
Last updated
12/05/2017
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