Individual
JOSEPH CARRICA III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CACII
Contact information
Practice address
711 BARNES AVE, LA JUNTA, CO 81050-2138
(719) 383-5449
(719) 384-5672
Mailing address
PO BOX 452, SWINK, CO 81077-0452
(719) 853-6329
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6215
CO
Other
Enumeration date
02/26/2007
Last updated
07/08/2007
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