Individual
ANHTUAN PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, MPH, MHA, CAC II
Contact information
Practice address
1700 WADSWORTH BLVD, LAKEWOOD, CO 80214-5256
(303) 238-1488
Mailing address
PO BOX 27705, DENVER, CO 80227-0705
(720) 308-0195
(303) 245-0119
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6852
CO
Other
Enumeration date
08/29/2013
Last updated
01/18/2020
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