Individual provider · Type 1 NPI

Connie Palm, CAC III

Addiction (Substance Use Disorder) Counselor · Pueblo, CO

NPI number 1790223634 Active

Practice location

1615 Bonforte Blvd
Pueblo, CO 81001-1602

Call (719) 404-1992 Map

Fax (719) 404-1996

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X7136 (CO)

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

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About NPI 1790223634

Connie Palm, CAC III's National Provider Identifier is 1790223634, issued on Feb 10, 2017. 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 Feb 10, 2017.