Individual
JERRY VARRONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA,CAC III
Contact information
Practice address
125 N PARKSIDE DR, 204, COLORADO SPRINGS, CO 80909-6097
(719) 633-3290
Mailing address
820 VINDICATOR DR, APT 104, COLORADO SPRINGS, CO 80919-3606
(719) 229-6288
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACC 713
CO
Other
Enumeration date
12/19/2013
Last updated
12/19/2013
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