Individual
MS. CORLISS LESLIE TAYLOR-DUNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., L.M.F.T.
Contact information
Practice address
930 STATE AVE, ALAMOSA, CO 81101-3142
(719) 379-3788
(719) 379-3788
Mailing address
611 MACDONALD PL, HCR 68 BOX 80, FORT GARLAND, CO 81133-9758
(719) 379-3788
(719) 379-3788
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
72160
CO
106H00000X
Marriage & Family Therapist
Primary
MFC 37343
CA
Other
Enumeration date
05/21/2007
Last updated
05/18/2010
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