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PAUL NORIEGA

Mental Health >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1083071419

Individual Registrant:
 PAUL  NORIEGA 
Gender: M
Sole Proprietor

Location and contact information for practice:
800 1ST ST TRLR 64  KERSEY, CO 80644-9758 US
Tel: 480-322-1868  Fax: --

Contact information for business:
800 1ST ST TRLR 64  KERSEY, CO 80644-9758 US
Tel: --  Fax: --

Registration Information:
NPI: 1083071419
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YM0800XBehavioral Health & Social Service Providers
Counselor
Mental Health

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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