Individual
ALEC MANALAC-KWASNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
340 E 1ST AVE STE 300, BROOMFIELD, CO 80020-2454
(631) 742-9443
Mailing address
340 E 1ST AVE STE 300, BROOMFIELD, CO 80020-2454
(631) 742-9443
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
NLC.0110197
CO
Other
Enumeration date
06/09/2019
Last updated
08/28/2023
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