Individual
CHARLENE VIQUELIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW INTERN
Contact information
Practice address
1785 N ACADEMY BLVD STE 100, COLORADO SPRINGS, CO 80909-2733
(719) 246-5693
Mailing address
1785 N ACADEMY BLVD STE 100, COLORADO SPRINGS, CO 80909-2733
(719) 246-5693
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
CO
Other
Enumeration date
05/27/2026
Last updated
05/27/2026
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