Whalio Doctors

NPI 1003031287

Tina Lorraine Bezona, LPC

Practitioner Professional Counselor Canon City, CO

Practice location

Address
107 S 9th St, Canon City, CO 81212-3800
Phone
(719) 430-5929
Mailing address
1183 S Camino Santiago Dr, Pueblo West, CO 81007-1904

Registered specialties

Professional Counselor Primary
Behavioral Health & Social Service Providers Taxonomy 101YP2500X Licence 4266 (CO)

Registry record

NPI
1003031287
Entity type
Individual
Sex (as registered)
Female
NPI issued
14 Apr 2007
Record last updated
19 Jan 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.