Provider Demographics
NPI:1457580359
Name:QUINTERO COLE, MARIA
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:
Last Name:QUINTERO COLE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2110 CONSTELLATION DR
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80906-1110
Mailing Address - Country:US
Mailing Address - Phone:719-440-7278
Mailing Address - Fax:
Practice Address - Street 1:2110 CONSTELLATION DR
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80906-1110
Practice Address - Country:US
Practice Address - Phone:719-440-7278
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-13
Last Update Date:2014-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health