Individual
MELITON DURAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CAS
Contact information
Practice address
275 W ABRIENDO AVE, PUEBLO, CO 81004-1870
(720) 987-7242
(719) 621-4794
Mailing address
1411 E ORMAN AVE, PUEBLO, CO 81004-3446
(719) 568-7815
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACC.0021084
CO
Other
Enumeration date
08/30/2021
Last updated
08/30/2021
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