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Individual

JOHN SCOTT MCFADDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MRC, CAC II

Contact information

Practice address
3239 INDEPENDENCE RD, CANON CITY, CO 81212
(719) 275-7650
Mailing address
3239 INDEPENDENCE RD, CANON CITY, CO 81212-9380
(719) 275-7650

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ACB-7497
CO
101YP2500X
Professional Counselor
Primary

Other

Enumeration date
11/01/2011
Last updated
07/20/2018
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