Individual
ALEXIS CORRAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1 EL PUEBLO RANCH WAY, PUEBLO, CO 81006-2103
(719) 404-1127
Mailing address
7260 SHAWNEE PL, COLORADO SPRINGS, CO 80915-1925
(719) 641-5620
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
11913
CO
101YS0200X
School Counselor
121510
CO
Other
Enumeration date
07/15/2014
Last updated
01/05/2016
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