JEB E BROST

MONTROSE, CO
NPI1720227531
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CO  ACC-6517)
Enumeration Date2009-02-18
Last Update Date2009-02-18
Business Address
-- JEB E BROST CACIII
2130 E MAIN ST
MONTROSE, CO 81401-3834
Phone number: 970-252-3200
Mailing Address
-- JEB E BROST CACIII
PO BOX 1208
MONTROSE, CO 81402-1208
Phone number: 970-252-3200
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