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Individual

ANTOINETTE JOYCE PASQUALE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
3211 W 20TH ST STE D, GREELEY, CO 80634-6566
(970) 356-3100
(970) 356-4827
Mailing address
3211 W 20TH ST STE D, GREELEY, CO 80634-6566
(970) 356-3100
(970) 356-4827

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1238
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
463575
VALUE OPTIONS
CO
01
643342
BLUE CROSS
CO
Enumeration date
08/07/2006
Last updated
07/08/2007
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