Individual
GUS DAVID HOLABECK III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
333 PERRY ST STE 206E, CASTLE ROCK, CO 80104-2434
(719) 428-9283
Mailing address
6047 WHETSTONE DR, COLORADO SPRINGS, CO 80923-7549
(719) 428-9283
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
112140114
CO
Other
Enumeration date
05/05/2015
Last updated
05/05/2015
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