Individual
MS. DEBRA PAULISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CAC11
Contact information
Practice address
1612 LAKESHORE DR, FORT COLLINS, CO 80525-2421
(970) 308-5184
Mailing address
1612 LAKESHORE DR, FORT COLLINS, CO 80525-2421
(970) 308-5184
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0007628
CO
Other
Enumeration date
11/26/2013
Last updated
12/10/2013
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