Individual
GINA ELANA CICCONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1155 CHEROKEE ST, DENVER, CO 80204-3632
(303) 602-3700
Mailing address
1400 CHAMBERS RD, AURORA, CO 80011-5836
(303) 617-2338
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACD.0001241
CO
Other
Enumeration date
05/09/2019
Last updated
01/07/2021
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