Organization
MARTA PUCHALLA, LMFT, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARTA PUCHALLA LMFT (OWNER)
(719) 205-1865
Entity
Organization
Contact information
Practice address
1751 S 8TH ST, COLORADO SPRINGS, CO 80905-1926
(719) 471-1816
(719) 471-9987
Mailing address
1751 S 8TH ST, COLORADO SPRINGS, CO 80905-1926
(719) 471-1816
(719) 471-9987
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFT0000378
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106455
—
CO
Enumeration date
08/25/2016
Last updated
08/25/2016
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