Individual
DENISE JIRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
315 STATE AVE, SUITE 104, ALAMOSA, CO 81101-2637
(719) 588-3459
Mailing address
PO BOX 211, ALAMOSA, CO 81101-0211
(719) 588-3459
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
5402
CO
101YM0800X
Mental Health Counselor
6541
CO
Other
Enumeration date
04/23/2010
Last updated
01/02/2013
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