Individual
MATTHEW ANTHONY CAPRANELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
719 W 29TH ST, PUEBLO, CO 81008-1183
(719) 544-4111
Mailing address
719 W 29TH ST, PUEBLO, CO 81008-1183
(719) 544-4111
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CAC III 5712
CO
Other
Enumeration date
05/16/2008
Last updated
05/16/2008
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