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Individual

MR. EMMET F. BELLVILLE III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MA, MA

Contact information

Practice address
924 INDIANA AVE, PUEBLO, CO 81004-3747
(719) 564-9039
Mailing address
417 E KIOWA ST UNIT 207, COLORADO SPRINGS, CO 80903-3455
(719) 250-2333

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4358
CO

Other

Enumeration date
02/09/2007
Last updated
07/08/2007
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