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Organization
ROSALINDA PENA
Active
Organization
ROSALINDA PENA
Active
Other names
Crystal Clear Christian Counseling Services
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROSALINDA PENA (MENTAL HEALTH COUNSELOR)
(719) 778-9208
Entity
Organization
Contact information
Practice address
2612 IVYWOOD LN, PUEBLO, CO 81004-3642
(719) 778-9208
Mailing address
2612 IVYWOOD LN, PUEBLO, CO 81004-3642
(719) 778-9208
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/13/2016
Last updated
12/13/2016
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