Individual
ANA BELEN VIZOSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC, LAC
Contact information
Practice address
3131 W 14TH AVE, DENVER, CO 80204
(303) 953-5910
Mailing address
3131 W 14TH AVE, DENVER, CO 80204-2203
(303) 953-5910
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0000900
CO
101YP2500X
Professional Counselor
Primary
0014688
CO
Other
Enumeration date
09/25/2017
Last updated
08/15/2018
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