Individual
KINGSLEY BABCOCK GALLUP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1129 MAIN AVE, DURANGO, CO 81301-5135
(970) 426-2130
Mailing address
590 LOS RANCHITOS DR, DURANGO, CO 81301-6336
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4630
CO
Other
Enumeration date
12/26/2007
Last updated
12/26/2007
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