Individual
CALVIN ROBINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1320 S 12TH ST, CANON CITY, CO 81212-4232
(717) 884-6449
Mailing address
1320 S 12TH ST, CANON CITY, CO 81212-4232
(717) 884-6449
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
NLC.0106267
CO
Other
Enumeration date
03/15/2016
Last updated
03/15/2016
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