Individual
JACK STORTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACC.0998204
Contact information
Practice address
18425 PONY EXPRESS DR UNIT 203, PARKER, CO 80134-9605
(303) 805-1218
Mailing address
18425 PONY EXPRESS DR UNIT 203, PARKER, CO 80134-9605
(303) 805-1218
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACC.0998204
CO
Other
Enumeration date
03/02/2022
Last updated
03/02/2022
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