Individual provider · Type 1 NPI

Brandy Lachelle Alvidrez, INTERN IN MSAC

Addiction (Substance Use Disorder) Counselor · Canon City, CO

NPI number 1487294955 Active

Practice location

3239 Independence Rd
Canon City, CO 81212-9380

Call (719) 275-7650 Map

Fax (719) 275-4209

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 1487294955

Brandy Lachelle Alvidrez, INTERN IN MSAC's National Provider Identifier is 1487294955, issued on Jan 13, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Canon City, CO. The record was last updated on Jan 13, 2020.