IndividualActive
Tina Bezona, LPC
NPI 1003031287 · Professional Counselor · Canon City, CO
Provider details
- NPI number
- 1003031287
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- Yes
- License
- 4266 (CO)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
107 S 9th St
Canon City, CO 81212-3800
Phone: (719) 430-5929
Approximate (ZIP-level) locationGet directions
Mailing address
1183 S Camino Santiago Dr
Pueblo West, CO 81007-1904
Registry dates
- Enumerated
- 2007-04-14
- Last updated
- 2024-01-19
- Certified
- 2024-01-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.