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GISELLE GARCIA CMA
Clinical >> Social Worker >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1730673245
Individual Registrant: GISELLE GARCIA CMA
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
145 1ST ST FORT LUPTON, CO 80621-2002 US
Tel: 303-857-2723 Fax: --
Tel: 303-857-2723 Fax: --
Contact information for business:
1300 N 17TH AVE GREELEY, CO 80631-9584 US
Tel: 970-347-2120 Fax: --
Tel: 970-347-2120 Fax: --
Registration Information:
NPI: 1730673245
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 1041C0700X | Behavioral Health & Social Service Providers Social Worker Clinical | CO | |
| Y | 101YM0800X | Behavioral Health & Social Service Providers Counselor | CO |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
