Individual
MR. ANTHONY L AVELAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CAC I
Contact information
Practice address
1530 W 13TH AVE, DENVER, CO 80204-2402
(303) 698-2300
Mailing address
1530 W 13TH AVE, DENVER, CO 80204-2402
(303) 698-2300
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6789
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
93401833
—
CO
Enumeration date
07/05/2011
Last updated
07/05/2011
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