Organization
CREATING CHANGE COUNSELING AND EDUCATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA SILLAS-GREEN LPC (OWNER/LICENSED PROFESSIONAL COUNSEL)
(719) 580-3079
Entity
Organization
Contact information
Practice address
139 REGENCY BLVD, PUEBLO, CO 81005-2127
(719) 470-1715
Mailing address
1021 N. MARKET PLZ, STE.107, #531, PUEBLO WEST, CO 81007
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/05/2023
Last updated
04/24/2023
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