Individual
CARL J BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CACIII
Contact information
Practice address
115 S PARKSIDE DR, COLORADO SPRINGS, CO 80910-3130
(719) 572-6100
Mailing address
220 RUSKIN DR, COLORADO SPRINGS, CO 80910-2522
(719) 572-6100
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACC.0001070
CO
Other
Enumeration date
12/23/2015
Last updated
12/23/2015
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