Individual
MR. LARRY LAMARR GADSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CAC III
Contact information
Practice address
1880 DUBLIN BLVD SUITE B, COLORADO SPRINGS, CO 80918
(719) 599-0047
Mailing address
1880 DUBLIN BLVD SUITE B, COLORADO SPRINGS, CO 80918
(719) 599-0047
(719) 599-0913
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1435-00
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ACC0007258
CERIFY ADDICTION COUNS
CO
Enumeration date
01/21/2014
Last updated
01/21/2014
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