Individual provider · Type 1 NPI
Everett R. Martin-Gonzales
Counselor · Salida, CO
NPI number
1639506959
Active
Practice location
111 Vesta Rd
Salida, CO 81201-9327
Fax (719) 269-9386
Mailing address
3225 Independence Rd
Canon City, CO 81212-9380
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | None 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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- Cassandra Stauch, LCSWClinical Social Worker Salida, CO NPI 1922872902
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About NPI 1639506959
Everett R. Martin-Gonzales's National Provider Identifier is 1639506959, issued on Oct 1, 2013. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Salida, CO. The record was last updated on Oct 1, 2013.