Individual
CHARLES HARRY WINGFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW CACIII
Contact information
Practice address
44 E SPAULDING AVE, STE 4, PUEBLO WEST, CO 81007-1668
(719) 564-9039
(719) 561-8752
Mailing address
44 E SPAULDING AVE, STE 4, PUEBLO WEST, CO 81007-1668
(719) 251-0398
(719) 547-4056
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
2049
CO
104100000X
Social Worker
Primary
991320
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038715
—
CO
Enumeration date
07/16/2006
Last updated
08/17/2016
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