Individual
BRODY EARL SHEFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA
Contact information
Practice address
924 INDIANA AVE, PUEBLO, CO 81004-3747
(719) 564-9039
(719) 561-8752
Mailing address
924 INDIANA AVE, PUEBLO, CO 81004-3747
(719) 564-9039
(719) 561-8752
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
12440
CO
Other
Enumeration date
02/22/2010
Last updated
03/03/2021
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