Individual
TINA BISPO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CAS
Contact information
Practice address
509 E 13TH ST, PUEBLO, CO 81001-2940
(719) 546-6666
(719) 404-1917
Mailing address
509 E 13TH ST, PUEBLO, CO 81001-2940
(719) 546-6666
(719) 404-1917
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACC.0021392
CO
Other
Enumeration date
04/23/2026
Last updated
04/23/2026
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