Individual
MS. MARY EDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAC III
Contact information
Practice address
1620 GAYLORD ST, DENVER, CO 80206-1207
(303) 388-5894
Mailing address
3738 W PRINCETON CIR, DENVER, CO 80236-3110
(303) 388-5894
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
3025
CO
Other
Enumeration date
10/13/2015
Last updated
10/13/2015
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