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Individual

MRS. BEVERLY RUTH SALLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, PSYCHOTHERAPIST

Contact information

Practice address
4585 HILTON PKWY, SUITE 202, COLORADO SPRINGS, CO 80907-3569
(719) 210-9330
(719) 599-4693
Mailing address
4585 HILTON PKWY, SUITE 202, COLORADO SPRINGS, CO 80907-3569
(719) 210-9330
(719) 599-4693

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10172
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10172
COLORADO REGISTRATION (DORA)
CO
Enumeration date
09/26/2008
Last updated
09/26/2008
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