Individual
BRYAN GILLESPIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1026 W ABRIENDO AVE, PUEBLO, CO 81004-1128
(719) 545-2746
Mailing address
525 W 9TH ST, PUEBLO, CO 81003-2917
(719) 545-2746
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/05/2013
Last updated
09/05/2013
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