Doctor Name: | ALICIA MADRID |
NPI Number: | 1790029221 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 1302 Chinook Ln Pueblo, CO - 810011851 |
Business Phone Number: | 7195452746 |
Business Fax Number: | 7195454100 |
Mailing Address: | 1026 W Abriendo Ave, PUEBLO |
State: | CO |
Postal Code: | 810041128 |
Phone Number: | 7194231193 |
Fax Number: | 7195454100 |
NPI Enumeration Date: | 11/21/2012 |
NPI Last Update Date: | 11/21/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |