Individual
MR. MICHAEL ELDEN HILLSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
112 IOWA AVE STE 4, COLORADO SPRINGS, CO 80909-5947
(719) 358-7338
(844) 273-2340
Mailing address
6102 COLONY CIR, COLORADO SPRINGS, CO 80919-2235
(719) 209-3959
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACB.0008413
CO
Other
Enumeration date
01/03/2019
Last updated
01/03/2019
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