Individual
JUAN ULIBARRI III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CAC II
Contact information
Practice address
4 MONTEBELLO RD, PUEBLO, CO 81001-1237
(171) 954-6667
(719) 546-8273
Mailing address
4 MONTEBELLO RD, PUEBLO, CO 81001-1237
(171) 954-6667
(719) 546-8273
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACB.0007980
CO
Other
Enumeration date
11/12/2015
Last updated
11/12/2015
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