Individual
JODI ANN DE ANGELIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 EL PUEBLO RANCH WAY, PUEBLO, CO 81006-2103
(719) 404-1101
(719) 404-1321
Mailing address
2960 LAKEVIEW AVE, PUEBLO, CO 81005-2421
(719) 406-5039
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/18/2008
Last updated
04/04/2014
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