Individual
MS. LINDA DIANE GARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CACIII
Contact information
Practice address
509 E 13TH ST, PUEBLO, CO 81001-2940
(719) 546-6666
Mailing address
509 E 13TH ST, PUEBLO, CO 81001-2940
(719) 546-6666
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
7076
CO
Other
Enumeration date
06/02/2011
Last updated
06/02/2011
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