Individual
PATRICIA HORMELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAC III
Contact information
Practice address
101 W 11TH ST STE 105, DURANGO, CO 81301-5108
(970) 247-1194
Mailing address
8787 TURNPIKE DR, WESTMINSTER, CO 80031-7031
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACC.0005325
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ACC.0005325
COLORADO DEPARTMENT OF REGULATORY AGENCIES
CO
Enumeration date
07/18/2017
Last updated
07/18/2017
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