Individual
MR. SANTIAGO NICOLAS SUAREZ QUIROGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA, CACII
Contact information
Practice address
8407 BRYANT ST, WESTMINSTER, CO 80031-3809
(303) 487-7776
(303) 487-7868
Mailing address
9061 JUDSON ST, WESTMINSTER, CO 80031-3348
(720) 999-7727
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACB.0008264
CO
Other
Enumeration date
06/09/2020
Last updated
06/09/2020
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