Individual
JULIE ANNE ATENCIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
3500 BALTIMORE AVE, PUEBLO, CO 81008-1543
(719) 545-1181
Mailing address
5 RAMSGATE PL, PUEBLO, CO 81001-1726
(719) 225-3551
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
12/08/2020
Last updated
12/08/2020
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