Provider Demographics
NPI:1316978257
Name:CALL, MARIA D (LPC)
Entity type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:D
Last Name:CALL
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Gender:F
Credentials:LPC
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Mailing Address - Street 1:540 MAIN ST. SUITE 110
Mailing Address - Street 2:DELTA PROFESSIONAL BUILDING
Mailing Address - City:DELTA
Mailing Address - State:CO
Mailing Address - Zip Code:81416
Mailing Address - Country:US
Mailing Address - Phone:970-874-0104
Mailing Address - Fax:970-874-5500
Practice Address - Street 1:540 MAIN ST. SUITE 110
Practice Address - Street 2:DELTA PROFESSIONAL BUILDING
Practice Address - City:DELTA
Practice Address - State:CO
Practice Address - Zip Code:81416
Practice Address - Country:US
Practice Address - Phone:970-874-0104
Practice Address - Fax:970-874-5500
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-06
Last Update Date:2017-04-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
COLPC 3555101YP2500X
CO3555101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO5181213Medicaid