Individual
MITCHELL ALBERT MESTAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
28 MACNAUGHTON RD, PUEBLO, CO 81001-1731
(719) 821-5234
Mailing address
509 E 13TH ST BLDG 509E13TH, PUEBLO, CO 81001-2940
(719) 546-6666
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/14/2023
Last updated
09/14/2023
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