CHARLES JAMES AVERY

FORT MORGAN, CO
NPI1811133770
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CO  1596-01)
Enumeration Date2008-12-24
Last Update Date2008-12-24
Business Address
Mr. CHARLES JAMES AVERY CAC III
410 RAILROAD AVE.
FORT MORGAN, CO 80701
Phone number: 970-370-3940
Mailing Address
Mr. CHARLES JAMES AVERY CAC III
902 RAM AVE.
FORT MORGAN, CO 80701
Phone number: 970-370-3940
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