Individual
GISELLE AZCONA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3609 AUSTIN BLUFFS PKWY STE 31, COLORADO SPRINGS, CO 80918-6658
(000) 000-0000
Mailing address
3609 AUSTIN BLUFFS PKWY STE 31, COLORADO SPRINGS, CO 80918-6658
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW.09933100
CO
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/09/2018
Last updated
05/09/2026
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