Individual
ANDREA VIDANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1685 BOWSTRING RD, MONUMENT, CO 80132-8627
(719) 440-1449
Mailing address
1685 BOWSTRING RD, MONUMENT, CO 80132-8627
(719) 440-1449
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0020394
CO
Other
Enumeration date
06/05/2023
Last updated
06/05/2023
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