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Organization
SPANISH CLINIC LLC
Active
Organization
SPANISH CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALFONSO CASTILLO CAC III (DIRECTOR/OWNER)
(303) 934-3040
Entity
Organization
Contact information
Practice address
4200 MORRISON RD, UNIT 8, DENVER, CO 80219-2481
(303) 934-3040
(303) 934-4188
Mailing address
4200 MORRISON RD, UNIT 8, DENVER, CO 80219-2481
(303) 934-3040
(303) 934-4188
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4790
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
82986541
—
CO
Enumeration date
08/14/2012
Last updated
08/14/2012
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