Individual
EDGAR CARLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CAS
Contact information
Practice address
1011 S VALENTIA ST UNIT 85, DENVER, CO 80247-6815
(303) 564-1868
Mailing address
1011 S VALENTIA ST UNIT 85, DENVER, CO 80247-6815
(303) 564-1868
(303) 393-6677
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACC0021318
CO
Other
Enumeration date
10/02/2024
Last updated
10/02/2024
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