Individual
JANET IMBLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1026 W ABRIENDO AVE, PUEBLO, CO 81004-1128
(719) 545-2746
(719) 545-4100
Mailing address
1033 E EVANS AVE, PUEBLO, CO 81004-2538
(719) 545-0152
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/01/2008
Last updated
08/01/2008
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