Organization
HOPE HAVEN THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERTA L SALAZAR (OWNER)
(719) 242-8758
Entity
Organization
Contact information
Practice address
311 W 24TH ST, PUEBLO, CO 81003-2470
(719) 242-8758
Mailing address
2007 TORONTO ST, PUEBLO, CO 81004-5220
(719) 242-8758
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/04/2021
Last updated
09/25/2023
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