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Individual

JOHN H ENGEBRETSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
111 VESTA RD, SALIDA, CO 81201-9327
(719) 275-2351
Mailing address
111 VESTA RD, SALIDA, CO 81201-9327
(719) 275-2351

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1108
MT
101YM0800X
Mental Health Counselor
Primary
4641
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
94480
NCC
Enumeration date
03/08/2007
Last updated
12/08/2025
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