Individual
DIANE G BUSCARELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
127 N. COMMERCIAL ST., UNIT 212, TRINIDAD, CO 81082-8108
(719) 661-3619
Mailing address
917 ATCHISON AVE, TRINIDAD, CO 81082-2211
(719) 661-3619
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0263
CO
Other
Enumeration date
05/02/2007
Last updated
03/09/2022
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