Individual
GINA MICHELLE TAMBONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2790 N ACADEMY BLVD STE 312, COLORADO SPRINGS, CO 80917-5347
(719) 598-8560
(719) 426-2969
Mailing address
2790 N ACADEMY BLVD STE 312, COLORADO SPRINGS, CO 80917-5347
(719) 598-8560
(719) 426-2969
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0011679
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0011679
DORA
CO
01
—
15382602
CAQH
—
Enumeration date
06/13/2007
Last updated
10/20/2021
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