Individual
JULIANNA JO MASCARENAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAS
Contact information
Practice address
2265 LAVA LN, ALAMOSA, CO 81101-3578
(719) 589-5176
Mailing address
2265 LAVA LN, ALAMOSA, CO 81101-3578
(719) 589-5176
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACC.0021093
CO
Other
Enumeration date
09/12/2023
Last updated
09/12/2023
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