Individual
DIEGO GONZALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CAC II
Contact information
Practice address
2560 W 29TH AVE, DENVER, CO 80211-3712
(303) 477-8280
Mailing address
2560 W 29TH AVE, DENVER, CO 80211-3712
(303) 477-8280
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACA0006821
CO
Other
Enumeration date
12/10/2012
Last updated
12/10/2012
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