Individual
DEVON EMMANUEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1724 VINE ST, DENVER, CO 80206-1120
(720) 336-8881
Mailing address
821 E RAILROAD AVE, FORT MORGAN, CO 80701-3365
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACD.0002209
CO
1041C0700X
Clinical Social Worker
SWC0000000181
CO
Other
Enumeration date
10/12/2021
Last updated
04/10/2023
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