Individual
KATHYELI RIVERA HIDALGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1650 COCHRANE CIR # B7500, FT CARSON, CO 80913-4613
(808) 372-3447
Mailing address
1650 COCHRANE CIR # B7500, FT CARSON, CO 80913-4613
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
24341
NC
1041C0700X
Clinical Social Worker
Primary
C013785
NC
1041C0700X
Clinical Social Worker
P013206
NC
Other
Enumeration date
02/07/2019
Last updated
09/12/2023
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