Individual
COURTNEY BANKO PALMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
720 N MAIN ST STE 330, PUEBLO, CO 81003-3047
(719) 569-7909
Mailing address
720 N MAIN ST STE 330, PUEBLO, CO 81003-3047
(719) 569-7909
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACC.0021095
CO
Other
Enumeration date
04/13/2021
Last updated
04/13/2021
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