LORELEI BALDERSTON

CANON CITY, CO
NPI1104338193
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CO  ACB.0008224)
Enumeration Date2017-10-30
Last Update Date2017-10-30
Business Address
LORELEI BALDERSTON
3225 INDEPENDENCE RD
CANON CITY, CO 81212-9380
Phone number: 719-275-2351
Mailing Address
LORELEI BALDERSTON
3225 INDEPENDENCE RD
CANON CITY, CO 81212-9380
Phone number: 719-275-2351