Individual
KRISTINA LYNN CARRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW, LAC
Contact information
Practice address
2429 S PRAIRIE AVE, PUEBLO, CO 81005-2886
(719) 564-5070
(719) 896-2874
Mailing address
220 RUSKIN DRIVE, COLORADO SPRINGS, CO 80910
(719) 572-6100
(719) 447-4792
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1057
CO
1041C0700X
Clinical Social Worker
Primary
CSW.09923606
CO
Other
Enumeration date
03/08/2012
Last updated
09/27/2019
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