Individual
CLARISSA SUEANN GALLEGOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
3303 W 144TH AVE UNIT 204, BROOMFIELD, CO 80023-9601
(720) 709-2810
Mailing address
3303 W 144TH AVE UNIT 204, BROOMFIELD, CO 80023-9601
(720) 709-2810
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC.0019762
CO
Other
Enumeration date
08/21/2019
Last updated
12/26/2023
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