Organization
HEAVY MEAN 16 COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRAEMON MCCABE (PROFESSIONAL COUNSELOR)
(719) 320-5239
Entity
Organization
Contact information
Practice address
507 E ROUTT AVE, PUEBLO, CO 81004-2352
(719) 320-5239
Mailing address
507 E ROUTT AVE, PUEBLO, CO 81004-2352
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/06/2024
Last updated
02/06/2024
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