Individual
DIANA L FRESQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA-LICENSED
Contact information
Practice address
315 STATE AVE, ALAMOSA, CO 81101-2637
(719) 588-8885
Mailing address
315 STATE AVE, ALAMOSA, CO 81101-2637
(719) 588-8885
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5103
CO
Other
Enumeration date
05/19/2009
Last updated
05/16/2012
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