Individual
SHERA LEE GOTTLOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAC I
Contact information
Practice address
1026 MAXWELL ST, COLORADO SPRINGS, CO 80906-5554
(719) 203-6550
Mailing address
842 HUBBELL DR, COLORADO SPRINGS, CO 80911-3523
(719) 696-5891
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/01/2019
Last updated
05/01/2019
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