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1962975813
MICHAEL ELDEN HILLSTROM
COLORADO SPRINGS, CO
NPI
1962975813
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CO ACB.0008413)
Enumeration Date
2019-01-03
Last Update Date
2019-01-03
Business Address
Mr. MICHAEL ELDEN HILLSTROM
112 IOWA AVE STE 4
COLORADO SPRINGS, CO 80909-5947
Phone number: 719-358-7338
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Mailing Address
Mr. MICHAEL ELDEN HILLSTROM
6102 COLONY CIR
COLORADO SPRINGS, CO 80919-2235
Phone number: 719-209-3959
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