Individual
JESSICA OLIVAS ALFARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
3500 BALTIMORE AVE, PUEBLO, CO 81008-1543
(719) 545-1181
(719) 545-1191
Mailing address
43 DICK TREFZ ST, PUEBLO, CO 81001-1940
(719) 545-1181
(719) 545-1191
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
7398
CO
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACD.0002041
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000237025
—
CO
Enumeration date
01/09/2012
Last updated
04/16/2026
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