Organization
CLINICA COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICARDO BANUELOS MA, LPC, CAC III (PROGRAM DIRECTOR)
(303) 823-1988
Entity
Organization
Contact information
Practice address
8380 ZUNI ST, SUITE 205, DENVER, CO 80221-4778
(303) 823-1988
Mailing address
8380 ZUNI ST, UNIT 205, DENVER, CO 80221-4778
(303) 823-1988
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
CO
Other
Enumeration date
09/04/2015
Last updated
03/23/2016
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