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Organization
THE GUADALUPE PROJECT, INC.
Active
Organization
THE GUADALUPE PROJECT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SERA TRESTON-PASTORE MSW (DIRECTOR)
(720) 333-1700
Entity
Organization
Contact information
Practice address
756 S LIPAN ST, DENVER, CO 80223-2743
(303) 477-4100
Mailing address
756 S LIPAN ST, DENVER, CO 80223-2743
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
104100000X
Social Worker
—
NULL
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001518868
TRAILS
CO
01
—
20011113676
SECRETARY OF STATE CORPORATE ID
CO
Enumeration date
06/28/2018
Last updated
06/28/2018
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