Individual
TAYLOR DISTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
15370 NINEBARK CT # D314, COLORADO SPRINGS, CO 80921-2622
(720) 208-3192
Mailing address
15370 NINEBARK CT # D314, COLORADO SPRINGS, CO 80921-2622
(720) 208-3192
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/05/2026
Last updated
05/05/2026
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