Individual
SUSAN TZANKOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CACIII
Contact information
Practice address
1991 GLEN AYR DR, LAKEWOOD, CO 80215-3012
(720) 300-7079
Mailing address
1991 GLEN AYR DR, LAKEWOOD, CO 80215-3012
(720) 300-7079
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACC.0007288
CO
Other
Enumeration date
08/30/2021
Last updated
08/30/2021
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