Individual
MAGDA ELIZABETH MENDOZA SOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
777 BANNOCK ST, DENVER, CO 80204-4597
(303) 436-4949
(303) 602-4064
Mailing address
777 BANNOCK ST, DENVER, CO 80204-4597
(303) 436-4949
(303) 602-4064
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
PSY.0006387
CO
Other
Enumeration date
01/18/2019
Last updated
10/07/2024
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