PRESTON DEFOSSES

WHEAT RIDGE, CO
NPI1093398208
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2021-05-05
Last Update Date2021-05-05
Business Address
PRESTON DEFOSSES
4851 INDEPENDENCE ST
WHEAT RIDGE, CO 80033-6715
Phone number: 303-425-0300
Mailing Address
PRESTON DEFOSSES
4851 INDEPENDENCE ST
WHEAT RIDGE, CO 80033-6715
Phone number: