Individual
MRS. JOY F SORRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CAC II
Contact information
Practice address
115 N TABOR UNIT 1, BUENA VISTA, CO 81211-1616
(719) 395-2550
(719) 395-2550
Mailing address
PO BOX 1616, BUENA VISTA, CO 81211-1616
(719) 395-2550
(719) 395-2550
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6563
CO
Other
Enumeration date
10/01/2007
Last updated
10/01/2007
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