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Mr. George W. Scudella, MSW
Mental Health Counselor in Canon City, Colorado
NPI 1083673750

George W. Scudella is a Mental Health Counselor based in Canon City, CO and is specialized in Mental Health. George W. Scudella practices in Canon City, CO and has the professional credentials of MSW. The NPI Number for George W. Scudella is 1083673750 and holds a License No. 989952 (Colorado).

The current practice location address for George W. Scudella is 615 N 15Th St, Canon City, CO and can be reached out via phone at 719-269-8338 and via fax at 719-269-9170.

Location: 615 N 15Th St, Canon City, CO, 81212-2313
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083673750
Provider Name
George W. Scudella
Credential
MSW
Provider Entity Type
Individual
Gender
Male
Address
615 N 15Th St, Canon City, CO, 81212-2313
Phone Number
719-269-8338
Fax Number
719-269-9170
Provider Enumeration Date
03/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
07989957 05 CO
institution
Provider Business Practice Location Address Details
Address
615 N 15Th St
City
Canon City
State
Colorado
Zip
81212-2313
Phone Number
719-269-8338
Fax Number
719-269-9170
person
Provider Business Mailing Address Details
Address
615 N 15Th St
City
Canon City
State
Colorado
Zip
81212-2313
Phone Number
719-269-8338
Fax Number
719-269-9170
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
989952 (Colorado)
Definition
Definition to come...
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