Individual
MS. JOYCE KATHY CHARBONEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS,CACII
Contact information
Practice address
425 W 3RD ST, PUEBLO, CO 81003-3207
(719) 404-1992
(719) 404-1996
Mailing address
425 W 3RD ST, PUEBLO, CO 81003-3207
(719) 404-1992
(719) 404-1996
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6768
CO
Other
Enumeration date
01/14/2011
Last updated
01/14/2011
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