Individual
MS. DEBORAH ANNE DEGRADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CACIII
Contact information
Practice address
711 BARNES AVE, LA JUNTA, CO 81050-2138
(719) 384-8503
(719) 384-5672
Mailing address
PO BOX 9181, PUEBLO, CO 81008-0181
(719) 254-5239
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACC0020792
CO
Other
Enumeration date
03/21/2012
Last updated
11/21/2013
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