TREVOR G GATES-CRANDALL

PUEBLO, CO
NPI1316982705
Professional NameTREVOR G GATES
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CO  CSW.09927211)
Additional Taxonomies1041C0700X Social Worker, Clinical
(Licence: NY  73080344)
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY  27722)
Enumeration Date2006-06-18
Last Update Date2024-02-05
Business Address
Dr. TREVOR G GATES-CRANDALL
3000 WEDGEWOOD DR # 2215
PUEBLO, CO 81005-2300
Phone number: 817-825-7662
Mailing Address
Dr. TREVOR G GATES-CRANDALL
3000 WEDGEWOOD DR # 2215
PUEBLO, CO 81005-2300
Phone number: