Individual
GISELLE GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMA
Contact information
Practice address
145 1ST ST, FORT LUPTON, CO 80621-2002
(303) 857-2723
Mailing address
1300 N 17TH AVE, GREELEY, CO 80631-9584
(970) 347-2120
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
CO
1041C0700X
Clinical Social Worker
—
CO
Other
Enumeration date
06/18/2018
Last updated
06/18/2018
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