KELLY KATHLEEN EARL

PUEBLO, CO
NPI1619113842
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CO  4887)
Enumeration Date2008-12-17
Last Update Date2008-12-17
Business Address
-- KELLY KATHLEEN EARL CACII
509 E 13TH ST
PUEBLO, CO 81001-2940
Phone number: 719-546-6666
Mailing Address
-- KELLY KATHLEEN EARL CACII
509 E 13TH ST
PUEBLO, CO 81001-2940
Phone number: 719-546-6666