Individual
MS. ROBERTA LEIGH GUERIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CACII
Contact information
Practice address
3470 BALTIMORE AVE, PUEBLO, CO 81008-1520
(719) 545-1181
(719) 545-4097
Mailing address
2316 COURT ST, PUEBLO, CO 81003-2426
(719) 369-6083
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6573
CO
Other
Enumeration date
07/08/2008
Last updated
07/08/2008
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