HENRY GARRETT MAXWELL

CARBONDALE, CO
NPI1750883161
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CO  ACB.0008228)
Enumeration Date2018-03-01
Last Update Date2018-03-01
Business Address
HENRY GARRETT MAXWELL CAC II
811 MAIN CT
CARBONDALE, CO 81623-1851
Phone number: 970-704-9292
Mailing Address
HENRY GARRETT MAXWELL CAC II
5351 COUNTY ROAD 100
CARBONDALE, CO 81623-8812
Phone number:
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