Individual
JEB E BROST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CACIII
Contact information
Practice address
2130 E MAIN ST, MONTROSE, CO 81401-3834
(970) 252-3200
(970) 252-3208
Mailing address
PO BOX 1208, MONTROSE, CO 81402-1208
(970) 252-3200
(970) 252-3208
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACC-6517
CO
Other
Enumeration date
02/18/2009
Last updated
02/18/2009
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