Individual
ERICA CERVANTEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8435 COUNTY ROAD Y, CAPULIN, CO 81124-5035
(719) 480-9715
Mailing address
PO BOX 14, CAPULIN, CO 81124-0014
(719) 480-9715
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC003470
CO
101YP2500X
Professional Counselor
LPC003470
—
Other
Enumeration date
06/11/2007
Last updated
03/25/2024
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