Individual provider · Type 1 NPI

Justin P. Genova

Addiction (Substance Use Disorder) Counselor · Pueblo, CO

NPI number 1407330368 Active

Practice location

2429 S Prairie Ave
Pueblo, CO 81005-2886

Mailing address

96 Ironweed Dr
Pueblo, CO 81001-1048

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1407330368

Justin P. Genova's National Provider Identifier is 1407330368, issued on Sep 17, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Pueblo, CO. The record was last updated on Sep 17, 2018.