Provider Demographics
NPI:1801461322
Name:PUFPAFF, VALDRA CAROLYN
Entity type:Individual
Prefix:
First Name:VALDRA
Middle Name:CAROLYN
Last Name:PUFPAFF
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 1:109 ECLIPSE DR
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80905-4395
Mailing Address - Country:US
Mailing Address - Phone:719-235-0787
Mailing Address - Fax:
Practice Address - Street 1:109 ECLIPSE DR
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80905-4395
Practice Address - Country:US
Practice Address - Phone:719-235-0787
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-26
Last Update Date:2021-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor