BRIAN A GOUT

DENVER, CO
NPI1972138881
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CO  ACB.0008346)
Enumeration Date2020-03-11
Last Update Date2020-03-11
Business Address
BRIAN A GOUT CAC II
2217 CHAMPA ST
DENVER, CO 80205-2531
Phone number: 720-398-9666
Mailing Address
BRIAN A GOUT CAC II
2217 CHAMPA ST
DENVER, CO 80205-2531
Phone number: 720-398-9666
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