Individual
ANDRES GERALD TALAVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
1330 OAKRIDGE DR UNIT 105, FORT COLLINS, CO 80525-9651
(970) 460-6762
Mailing address
121 N 31ST AVE UNIT 105, GREELEY, CO 80631-1373
(908) 499-3429
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPCC.0021572
CO
Other
Enumeration date
03/20/2024
Last updated
03/20/2024
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