Individual
RONALD A GOWINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CAS
Contact information
Practice address
111 VESTA RD, SALIDA, CO 81201-9327
(719) 792-2066
Mailing address
111 VESTA RD, SALIDA, CO 81201-9327
(719) 972-2066
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
C3 - 6349
CO
Other
Enumeration date
04/09/2012
Last updated
12/17/2021
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