Individual
ANTHONY RODENBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
443 S CO-105, PALMER LAKE, CO 80133
(720) 530-9344
Mailing address
443 S CO-105, PALMER LAKE, CO 80133
(720) 530-9344
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACC.0020890
CO
Other
Enumeration date
01/30/2020
Last updated
01/30/2020
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