Individual
DESIREE S MAES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAS
Contact information
Practice address
509 E 13TH ST, PUEBLO, CO 81001-2940
(719) 546-6666
(719) 543-7764
Mailing address
509 E 13TH ST, PUEBLO, CO 81001-2940
(719) 546-6666
(719) 543-7764
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
21200
CO
Other
Enumeration date
12/14/2021
Last updated
12/27/2021
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