Individual
KATRINA BAUGHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS, CAC I
Contact information
Practice address
3470 BALTIMORE AVE, PUEBLO, CO 81008-1520
(719) 561-9850
Mailing address
3470 BALTIMORE AVE, PUEBLO, CO 81008-1520
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACA.0007200
CO
Other
Enumeration date
04/07/2015
Last updated
04/07/2015
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