Individual
JOSEPH WALTER HERMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA LAC
Contact information
Practice address
811 MAIN CT, CARBONDALE, CO 81623-1851
(651) 303-1013
Mailing address
3238 FRONT ST, CLIFTON, CO 81520-7601
(651) 303-1013
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/23/2021
Last updated
06/23/2021
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