Individual
DEVRATH MANOHAR PRABHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10327 WASHINGTON ST, THORNTON, CO 80229-2003
(720) 379-6995
Mailing address
10327 WASHINGTON ST, THORNTON, CO 80229-2003
(720) 379-6995
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
05/25/2022
Last updated
05/25/2022
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