Individual
DOUGLAS ERIC HANSHAW
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MS, CAC III
Contact information
Practice address
100 W. COLORADO AVE., SUITE 225, TELLURIDE, CO 81435
(970) 596-1412
(970) 325-0200
Mailing address
751 CR 14A, PO BOX 1407, OURAY, CO 81427-1407
(970) 596-1412
(970) 325-0200
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6365
CO
Other
Enumeration date
05/04/2006
Last updated
07/08/2007
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