Individual
DR. EVELYN WERTENBERGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
720 N MAIN ST STE 240, PUEBLO, CO 81003-3046
(719) 289-8288
(855) 775-0361
Mailing address
PO BOX 8181, PUEBLO, CO 81008-8181
(719) 289-8288
(855) 775-0361
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1127
CO
1041C0700X
Clinical Social Worker
Primary
CSW.00989693
CO
Other
Enumeration date
08/15/2005
Last updated
06/22/2024
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