Organization
OASIS COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATT CAPRANELLI CACIII, LPC (EXECUTIVE DIRECTOR)
(719) 544-4111
Entity
Organization
Contact information
Practice address
717 W 29TH ST, PUEBLO, CO 81008-1176
(719) 544-4111
(719) 544-3497
Mailing address
717 W 29TH ST, PUEBLO, CO 81008-1176
(719) 544-4111
(719) 544-3497
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1623-01
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
82556725
—
CO
Enumeration date
03/30/2011
Last updated
03/30/2011
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