Healthcare Provider Details
I. General information
NPI: 1023945524
Provider Name (Legal Business Name): TWO SPARROWS DURANGO PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/07/2026
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1911 MAIN AVE STE 101
DURANGO CO
81301-5079
US
IV. Provider business mailing address
368 OAK DR
DURANGO CO
81301-7221
US
V. Phone/Fax
- Phone: 970-903-7701
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JOSEPHINE
KLUMPENHOWER
Title or Position: OWNER
Credential:
Phone: 970-903-7701