Individual
GEOFFREY MICHAEL GOHEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CAS
Contact information
Practice address
375 W ABRIENDO AVE., PUEBLO, CO 81004-1001
(719) 621-1929
(719) 621-4974
Mailing address
275 W ABRIENDO AVE., PUEBLO, CO 81004-1001
(719) 621-1929
(719) 621-1929
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0997991
CO
Other
Enumeration date
04/06/2010
Last updated
10/31/2024
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