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Individual

DEBORAH D BOTHWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CAC III

Contact information

Practice address
525 W OAK ST, FORT COLLINS, CO 80521-2612
(970) 494-4300
(970) 346-9800
Mailing address
125 CRESTRIDGE ST, FORT COLLINS, CO 80525-3934
(970) 494-9761
(970) 346-9800

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACC-6179
CO

Other

Enumeration date
10/05/2012
Last updated
10/05/2012
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