Individual
TIFFANY ESQUIBEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1304 CHINOOK LN, PUEBLO, CO 81001-1851
(719) 545-2746
Mailing address
1304 CHINOOK LN, PUEBLO, CO 81001-1851
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACB.0007216
CO
Other
Enumeration date
07/11/2016
Last updated
07/11/2016
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