Individual
MS. ANITA LAVERNE ARCHIBEQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
108 W TOPEKA AVE, TRINIDAD, CO 81082-2150
(719) 846-3235
Mailing address
108 W TOPEKA AVE, TRINIDAD, CO 81082-2150
(719) 846-3235
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/27/2009
Last updated
08/27/2009
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