Individual
JOSE LEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
115 N CAMPBELL AVE, HOLYOKE, CO 80734-1003
(970) 854-2117
(970) 522-4211
Mailing address
211 W MAIN ST, STERLING, CO 80751-3168
(970) 522-4549
(970) 522-4211
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACB-1781
CO
Other
Enumeration date
07/11/2012
Last updated
07/11/2012
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