Individual
MICHELE EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CPS II, CAC II
Contact information
Practice address
1512 GRAND AVE STE 115, GLENWOOD SPRINGS, CO 81601-3851
(970) 230-9644
Mailing address
1512 GRAND AVE STE 115, GLENWOOD SPRINGS, CO 81601-3851
(970) 230-9644
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACB.0007540
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ACB.0007540
CERTIFIED ADDICTIONS COUNSELOR LEVEL II - CAC II
CO
Enumeration date
02/07/2018
Last updated
02/07/2018
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