Individual provider · Type 1 NPI

Jaycob Gonzales-Cordova

Counselor · Pueblo, CO

NPI number 1003302902 Active

Practice location

1302 Chinook Ln
Pueblo, CO 81001-1851

Call (719) 545-2746 Map

Fax (719) 423-1882

Mailing address

41 Montebello Rd Ste 202
Pueblo, CO 81001-1366

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1003302902

Jaycob Gonzales-Cordova's National Provider Identifier is 1003302902, issued on Jul 3, 2018. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Pueblo, CO. The record was last updated on Jul 3, 2018.