Individual
MR. JONATHAN PAUL DECARLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CAC III
Contact information
Practice address
950 S CHERRY ST, SUITE 410, DENVER, CO 80246-2699
(720) 431-1824
Mailing address
950 S CHERRY ST, SUITE 410, DENVER, CO 80246-2699
(720) 431-1824
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
7021
CO
Other
Enumeration date
04/27/2012
Last updated
04/27/2012
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