Individual
TODD ANTHONY LOVELADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1005 COURT ST, PUEBLO, CO 81003-2871
(719) 647-7403
Mailing address
447 GAYLORD AVE, PUEBLO, CO 81004-1309
(719) 626-1849
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACC.0998659
CO
101YM0800X
Mental Health Counselor
—
—
101YP1600X
Pastoral Counselor
—
—
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
07/25/2023
Last updated
07/25/2023
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