Individual
DAVID NASRALLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC MA NCC
Contact information
Practice address
422 PAGOSA ST STE 9, PAGOSA SPRINGS, CO 81147-9955
(970) 317-5230
Mailing address
PO BOX 2623, PAGOSA SPRINGS, CO 81147-2623
(970) 317-5230
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC.0016591
CO
Other
Enumeration date
10/24/2020
Last updated
10/24/2020
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