Individual
SAMANTHA PINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
41 MONTEBELLO RD STE 124, PUEBLO, CO 81001-1366
(719) 545-2746
Mailing address
41 MONTEBELLO RD STE 204, PUEBLO, CO 81001-1379
(719) 545-2746
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACD.0002662
CO
Other
Enumeration date
09/16/2020
Last updated
01/06/2025
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