JOSEPH CARRICA

LA JUNTA, CO
NPI1417083007
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CO  6215)
Enumeration Date2007-02-26
Last Update Date2007-07-08
Business Address
JOSEPH CARRICA CACII
711 BARNES AVE
LA JUNTA, CO 81050-2138
Phone number: 719-383-5449
Mailing Address
JOSEPH CARRICA CACII
PO BOX 452
SWINK, CO 81077-0452
Phone number: 719-853-6329
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