Unknown Individual – Addiction (Substance Use Disorder) Counselor, NPI 1154483071
Addiction (Substance Use Disorder) Counselor
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
56, Club Manor Drive, Pueblo, Pueblo County, Colorado, 81008, United States
SUITE 100
PUEBLO, CO 81008
Phone: (719) 595-7728
Fax: (719) 584-4808
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 81008)
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