Individual
MS. EVA L TALBOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
115 S PARKSIDE DRIVE, COLORADO SPRINGS, CO 80910
(719) 572-6340
(719) 447-4792
Mailing address
220 RUSKIN DR, COLORADO SPRINGS, CO 80910
(719) 572-6100
(719) 572-6080
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
4413
CO
101YM0800X
Mental Health Counselor
Primary
1677
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128492
—
CO
05
—
37907344
—
CO
Enumeration date
01/04/2007
Last updated
11/24/2010
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