Organization · Type 2 NPI

Green Thumb Initiative

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

NPI number 1952163388 Active

Practice location

613 Main St Ste 10
Canon City, CO 81212-3776

Mailing address

1012 Main St
Canon City, CO 81212-3465

Other practice locations

  • 6 S Tejon St Ste 450, Colorado Springs, CO 80903-1559 · (719) 792-9431

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed
Mental Health Counselor 101YM0800XNone listed
Professional Counselor 101YP2500XNone listed

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

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About NPI 1952163388

Green Thumb Initiative's National Provider Identifier is 1952163388, issued on Jan 30, 2024. 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 Jul 21, 2024.