Organization
CENTRO DE LA FAMILIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LUCIA GUILLEN M.A (EXECUTIVE DIRECTOR)
(719) 238-8638
Entity
Organization
Contact information
Practice address
1645 S MURRAY BLVD, COLORADO SPRINGS, CO 80916-4502
(719) 238-8638
(719) 227-9185
Mailing address
PO BOX 15005, COLORADO SPRINGS, CO 80935-5005
(719) 238-8638
(719) 227-9185
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CSW-991418
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007528
—
CO
Enumeration date
11/20/2012
Last updated
09/28/2020
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