Miranda Puente, BSW
Counselor, Mental Health in Pueblo, CO. Individual provider (NPI-1).
NPI number1164096285
StatusActive
Last updated in NPPESMay 13, 2021
Details
- NPI
- 1164096285
- Entity type
- Individual (NPI-1)
- Name
- Miranda Puente
- Credential
- BSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 13, 2021
- Certification date
- May 13, 2021
- Last updated
- May 13, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 12789 | CO | Yes |
Practice location
2521 4th AvePueblo, CO 81003-1704
Phone 719-778-4237
Mailing address
2521 4th AvePueblo, CO 81003-1704
Phone 719-778-4237
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