Individual
MATT VALENTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1465 KELLY JOHNSON BLVD, SUITE 210, COLORADO SPRINGS, CO 80920-3955
(719) 964-6517
Mailing address
1465 KELLY JOHNSON BLVD, SUITE 210, COLORADO SPRINGS, CO 80920-3955
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
NLC.0013203
CO
Other
Enumeration date
12/04/2015
Last updated
03/15/2016
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