Individual
SARAH PRUST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6827 S IVY ST, #3-202, CENTENNIAL, CO 80112-6272
(719) 964-7760
Mailing address
6827 S IVY ST, #3-202, CENTENNIAL, CO 80112-6272
(719) 964-7760
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/29/2017
Last updated
03/29/2017
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