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Organization
SAN JUAN HOUSE COUNSELING CENTER
Active
Organization
SAN JUAN HOUSE COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASEY J GARCIA (DIRECTOR)
(719) 588-6777
Entity
Organization
Contact information
Practice address
309 SAN JUAN AVE, ALAMOSA, CO 81101-2534
(719) 589-0202
Mailing address
309 SAN JUAN AVENUE, ALAMOSA, CO 81101-3125
(719) 589-0202
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1851
CO
101YM0800X
Mental Health Counselor
Primary
2839
CO
Other
Enumeration date
11/17/2014
Last updated
11/17/2014
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