JOSE LEON

HOLYOKE, CO
NPI1942565296
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CO  ACB-1781)
Enumeration Date2012-07-11
Last Update Date2012-07-11
Business Address
-- JOSE LEON
115 N CAMPBELL AVE
HOLYOKE, CO 80734-1003
Phone number: 970-854-2117
Mailing Address
-- JOSE LEON
211 W MAIN ST
STERLING, CO 80751-3168
Phone number: 970-522-4549
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