Individual
AMIE REBECCA PODOLSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
543 ANIMAS VIEW DR APT 23, DURANGO, CO 81301-8922
(970) 946-8004
Mailing address
543 ANIMAS VIEW DR., #23, DURANGO, CO 81303-3409
(970) 946-8004
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
7150
CO
1041C0700X
Clinical Social Worker
Primary
CSW-1118
CO
Other
Enumeration date
08/29/2007
Last updated
01/31/2012
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