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Individual

PERLA RAMIREZ-GROOTHUIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, LAC

Contact information

Practice address
212 W 13TH ST, PUEBLO, CO 81003-3754
(719) 696-9027
Mailing address
212 W 13TH ST, PUEBLO, CO 81003-3754
(719) 696-9027

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
101YM0800X
Mental Health Counselor
NLC
CO

Other

Enumeration date
09/11/2015
Last updated
08/30/2023
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