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Individual

LENORE A SENIOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, NCC, LPC

Contact information

Practice address
509 COLORADO AVE, SUITE B, PUEBLO, CO 81004-2008
(719) 252-0433
Mailing address
509 COLORADO AVE, SUITE B, PUEBLO, CO 81004-2008
(719) 252-0433

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LPC4570
CO
101YP2500X
Professional Counselor
Primary
LPC4570
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PENDING
CO
Enumeration date
04/28/2008
Last updated
04/28/2008
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