Provider Demographics
NPI:1235495540
Name:NAVA, RICHELLE RENEE (MA)
Entity Type:Individual
Prefix:MS
First Name:RICHELLE
Middle Name:RENEE
Last Name:NAVA
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4737 EAGLERIDGE CIR
Mailing Address - Street 2:APT 108
Mailing Address - City:PUEBLO
Mailing Address - State:CO
Mailing Address - Zip Code:81008-2199
Mailing Address - Country:US
Mailing Address - Phone:719-406-5351
Mailing Address - Fax:
Practice Address - Street 1:4737 EAGLERIDGE CIR
Practice Address - Street 2:APT 108
Practice Address - City:PUEBLO
Practice Address - State:CO
Practice Address - Zip Code:81008-2199
Practice Address - Country:US
Practice Address - Phone:719-406-5351
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-11
Last Update Date:2012-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health