JUSTIN P GENOVA

PUEBLO, CO
NPI1407330368
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2018-09-17
Last Update Date2018-09-17
Business Address
JUSTIN P GENOVA
2429 S PRAIRIE AVE
PUEBLO, CO 81005-2886
Phone number: 719-564-5070
Mailing Address
JUSTIN P GENOVA
96 IRONWEED DR
PUEBLO, CO 81001-1048
Phone number: 719-320-3361
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