Individual
CHANELLE MURO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1465 KELLY JOHNSON BLVD STE 350, COLORADO SPRINGS, CO 80920-3983
(719) 362-0796
Mailing address
1465 KELLY JOHNSON BLVD STE 350, COLORADO SPRINGS, CO 80920-3983
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
MFT.0001483
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MFT.0001483
COUNSELOR
CO
Enumeration date
11/06/2019
Last updated
11/06/2019
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