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Individual

TINA M REYERO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
2532 W COLORADO AVE STE 200, COLORADO SPRINGS, CO 80904-3023
(720) 937-7190
Mailing address
2514 W COLORADO AVE STE 200, COLORADO SPRINGS, CO 80904-3074
(720) 937-7190

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CO
101YA0400X
Addiction (Substance Use Disorder) Counselor
CO
101YM0800X
Mental Health Counselor
CO
101YP2500X
Professional Counselor
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9000175077
CO
Enumeration date
05/31/2017
Last updated
04/26/2024
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