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Organization
WILLOW TREE COUNSELING
Active
Organization
WILLOW TREE COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY BALAGAT LCSW (OWNER)
(719) 528-0959
Entity
Organization
Contact information
Practice address
2227 N ELIZABETH ST, PUEBLO, CO 81003-1809
(719) 696-8426
Mailing address
2227 N ELIZABETH ST, PUEBLO, CO 81003-1809
(719) 696-8426
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
07/22/2022
Last updated
10/30/2023
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