Doctor Name: | KARLA GISSELLA OJEDA |
NPI Number: | 1063531549 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 7601 E 130th Ave Thornton, CO - 806028426 |
Business Phone Number: | 3034652033 |
Business Fax Number: | |
Mailing Address: | 11408 Iola St, HENDERSON |
State: | CO |
Postal Code: | 806407681 |
Phone Number: | 3036016520 |
Fax Number: | |
NPI Enumeration Date: | 03/28/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |