Individual
ALEXIS CORDOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1012 W ABRIENDO AVE, PUEBLO, CO 81004-1128
(719) 545-2746
Mailing address
41 MONTEBELLO RD STE 204, PUEBLO, CO 81001-1379
(719) 545-2746
(719) 545-4100
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
09/16/2020
Last updated
12/30/2024
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