Individual
AMANDA HASENACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
41 MONTEBELLO RD STE LL1, PUEBLO, CO 81001-1379
(719) 545-2746
(719) 545-4100
Mailing address
41 MONTEBELLO RD STE 204, PUEBLO, CO 81001-1379
(719) 545-2746
(719) 545-4100
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACD.0002778
CO
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
03/07/2011
Last updated
08/20/2025
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