Organization
LA PUENTE HOME INC
Active
Organization
LA PUENTE HOME INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDY MCNEILSMITH LPC (DIRECTOR OF OPERATIONS)
(719) 588-0779
Entity
Organization
Contact information
Practice address
911 STATE AVE, ALAMOSA, CO 81101-3141
(719) 588-0779
Mailing address
911 STATE AVE, ALAMOSA, CO 81101-3141
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
06/18/2024
Last updated
06/18/2024
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