Organization
PURA VIDA VOICES, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM FREDERICK STULTZ PH.D. (PARTNER)
(719) 546-1300
Entity
Organization
Contact information
Practice address
1624 BONFORTE BLVD STE C, PUEBLO, CO 81001-1680
(719) 546-1300
Mailing address
1624 BONFORTE BLVD STE C, PUEBLO, CO 81001-1680
(719) 546-1300
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
1407
CO
106H00000X
Marriage & Family Therapist
Primary
539
CO
Other
Enumeration date
06/03/2013
Last updated
06/03/2013
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