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ROSALINDA PENA NPI 1508300344


NPI Information

NPI: 1508300344
Provider Name: ROSALINDA PENA

Doing Business As: CRYSTAL CLEAR CHRISTIAN COUNSELING SERVICES

Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
2612 IVYWOOD LN
PUEBLO, CO
ZIP 81004
Phone: (719) 778-9208
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ROSALINDA PENA is a mental health counselor in Pueblo, CO. ROSALINDA PENA NPI is 1508300344. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Crystal Clear Christian Counseling Services.

The provider's business location address is:

2612 IVYWOOD LN
PUEBLO, CO
ZIP 81004-642
Phone: (719) 778-9208

The provider's authorized official is Rosalinda Pena .
The authorized official title is Mental Health Counselor and has the following contact phone number (719) 778-9208.

The enumeration date for this NPI number is 12/13/2016 and was last updated on 12/13/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YM0800XCounselorMental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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