Individual
ROBERT J ARCHULETA I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
509 E 13TH ST, PUEBLO, CO 81001-2940
(719) 546-6666
Mailing address
509 E 13TH ST, PUEBLO, CO 81001-2940
(719) 546-6666
(719) 404-1918
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0007203
CO
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ADC.0002476
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000235501
—
CO
Enumeration date
04/02/2015
Last updated
04/16/2026
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