Individual
EMILY BLUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1601 25TH AVE, GREELEY, CO 80634-4907
(970) 378-8805
Mailing address
1601 25TH AVE, GREELEY, CO 80634-4907
(970) 378-8805
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1316307606
CO
Other
Enumeration date
05/02/2022
Last updated
05/02/2022
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