TOM BOURDELAIS

DENVER, CO
NPI1780839761
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2008-11-18
Last Update Date2008-11-20
Business Address
-- TOM BOURDELAIS CAC III
1155 CHEROKEE ST
DENVER, CO 80204-3632
Phone number: 303-436-3500
Mailing Address
-- TOM BOURDELAIS CAC III
1155 CHEROKEE ST
DENVER, CO 80204-3632
Phone number:
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