Individual
GRACE BERLANGA GARZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1006 S MAIN ST, LAMAR, CO 81052-3814
(719) 336-2600
(719) 336-3669
Mailing address
PO BOX 1417, LAMAR, CO 81052-1417
(719) 336-2600
(719) 336-3669
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACA0007267
CO
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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