Provider Demographics
NPI:1548844699
Name:ESPINOZA, ROSLYN MARIAH (LPCC)
Entity type:Individual
Prefix:
First Name:ROSLYN
Middle Name:MARIAH
Last Name:ESPINOZA
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1227 E RESNIK DR
Mailing Address - Street 2:
Mailing Address - City:PUEBLO
Mailing Address - State:CO
Mailing Address - Zip Code:81007-3965
Mailing Address - Country:US
Mailing Address - Phone:719-569-7909
Mailing Address - Fax:
Practice Address - Street 1:720 N MAIN ST STE 330
Practice Address - Street 2:
Practice Address - City:PUEBLO
Practice Address - State:CO
Practice Address - Zip Code:81003-3047
Practice Address - Country:US
Practice Address - Phone:719-569-7909
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-05
Last Update Date:2025-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COACA.0008056101YA0400X
COLPCC.0023543101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)