Individual
TANYA S PARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAC III
Contact information
Practice address
1140 M ST, GREELEY, CO 80631-9586
(970) 353-3900
Mailing address
1300 N 17TH AVE, GREELEY, CO 80631-9584
(970) 347-2120
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACC.0006361
CO
Other
Enumeration date
06/16/2014
Last updated
06/16/2014
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