Individual
DENICE BROYLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14385 COUNTY ROAD P, LA JARA, CO 81140-9584
(719) 992-4260
Mailing address
13892 COUNTY ROAD 104 S, ALAMOSA, CO 81101-9186
(719) 588-9405
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0023369
CO
Other
Enumeration date
06/19/2025
Last updated
06/19/2025
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