Provider Demographics
NPI:1366864662
Name:MITCHELL, ALINA GALUSHKO (MA)
Entity Type:Individual
Prefix:
First Name:ALINA
Middle Name:GALUSHKO
Last Name:MITCHELL
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 1:9250 E COSTILLA AVE STE 535
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80112-3679
Mailing Address - Country:US
Mailing Address - Phone:720-299-9880
Mailing Address - Fax:
Practice Address - Street 1:9250 E COSTILLA AVE STE 535
Practice Address - Street 2:
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80112-3679
Practice Address - Country:US
Practice Address - Phone:720-299-9880
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-06
Last Update Date:2022-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC .0011207101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional