Individual
GEORGE GLENN SOLANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CAC III
Contact information
Practice address
3470 BALTIMORE AVE, PUEBLO, CO 81008-1520
(719) 545-1181
Mailing address
3109 GEM DR, PUEBLO, CO 81005-2875
(719) 544-1181
(719) 545-4097
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
3377
CO
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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