Individual
MS. MANDESAH IMANI DRAMMEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CAC III
Contact information
Practice address
25 E 16TH AVE, DENVER, CO 80202-5195
(303) 297-4027
(303) 764-6270
Mailing address
2111 CHAMPA ST.REET, DENVER, CO 80205
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
611
CO
Other
Enumeration date
04/05/2010
Last updated
04/05/2010
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