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Organization · Addiction (Substance Use Disorder) Counselor · Ignacio, CO

NPI
1033352240
Type
Organization (Type 2)
Primary specialty
Addiction (Substance Use Disorder) Counselor (Counselor)
Specialty group
Behavioral Health & Social Service Providers
Taxonomy code
101YA0400X
License number
1445 (CO)
Enumerated
2009-04-17
Last updated
2009-04-17
Practice location
296 Mouache Rd.
Ignacio, CO 81137-0429
(970) 563-4555

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