Individual
EVGUENIA GUENTCHEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
1012 MAIN ST, CANON CITY, CO 81212-3465
(719) 406-8073
Mailing address
503 CANDLEWOOD DR, CANON CITY, CO 81212-2071
(719) 406-8073
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
71
CO
101YP2500X
Professional Counselor
Primary
4849
CO
Other
Enumeration date
02/27/2007
Last updated
12/21/2016
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