Organization · Type 2 NPI
Southern Colorado Youth Development
Professional Counselor · Pueblo, CO
NPI number
1124784913
Active
Practice location
2828 Granada Blvd
Pueblo, CO 81005-3104
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | None listed |
Professional Counselor: Definition to come...
Another provider at this address
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About NPI 1124784913
Southern Colorado Youth Development's National Provider Identifier is 1124784913, issued on Nov 16, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Pueblo, CO. The record was last updated on Nov 16, 2021.