person
Jeremy Cruz Puente
Professional Counselor in Alamosa, Colorado
NPI 1326773813

Jeremy Cruz Puente is a Professional Counselor based in Alamosa, CO and is specialized in Professional. Jeremy Cruz Puente practices in Alamosa, CO. The NPI Number for Jeremy Cruz Puente is 1326773813 and holds a License No. 0019725 (Colorado).

The current practice location address for Jeremy Cruz Puente is 106 Blanca Ave Ste 300, Alamosa, CO and can be reached out via phone at 719-589-3658 and via fax at 719-589-0997.

Location: 106 Blanca Ave Ste 300, Alamosa, CO, 81101-2290
person
Provider Profile Details
NPI Number
1326773813
Provider Name
Jeremy Cruz Puente
Credential
Provider Entity Type
Individual
Gender
Male
Address
106 Blanca Ave Ste 300, Alamosa, CO, 81101-2290
Phone Number
719-589-3658
Fax Number
719-589-0997
Provider Enumeration Date
07/19/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
19725 01 CO STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
106 Blanca Ave Ste 300
City
State
Zip
81101-2340
Phone Number
719-589-3658
Fax Number
719-589-0997
person
Provider Business Mailing Address Details
Address
106 Blanca Ave Ste 300
City
State
Zip
81101-2340
Phone Number
719-589-3658
Fax Number
719-589-0997
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
0019725 (Colorado)
Definition
Definition to come...
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