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Individual

RICHARD ESQUIBEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CAC III

Contact information

Practice address
8745 COUNTY ROAD 9 S, ALAMOSA, CO 81101-9610
(719) 589-3671
(719) 589-9136
Mailing address
8745 COUNTY ROAD 9 S, ALAMOSA, CO 81101-9610
(719) 589-3671
(719) 589-9136

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
5456
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
04140091
CO
Enumeration date
03/15/2007
Last updated
07/09/2007
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