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Individual

CLEMENT CRAZY THUNDER JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CAS

Contact information

Practice address
2206 VICTOR ST, AURORA, CO 80045-7400
(303) 617-2300
Mailing address
1290 CHAMBERS RD, AURORA, CO 80011-7117
(303) 617-2300
(303) 617-2344

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
862
NE
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
06/14/2011
Last updated
01/31/2024
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