Individual
MS. URSULA LYNETTE HOLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LPN, LAC
Contact information
Practice address
275 W ABRIENDO AVE, PUEBLO, CO 81004-1870
(719) 621-1929
(719) 621-4974
Mailing address
2120 RANGEVIEW DR, PUEBLO, CO 81008-1705
(720) 987-7242
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACD.0001734
CO
164W00000X
Licensed Practical Nurse
PN.0049147
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ACD.0001734
LAC
CO
01
—
PN.0049147
LICENSED PRACTICAL NURSE
CO
Enumeration date
06/29/2007
Last updated
09/02/2022
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