person
Mr. Edgar Carl De Van III, CACII
Addiction (Substance Use Disorder) Counselor in Walsenburg, Colorado
NPI 1215139019

Edgar Carl De Van III is an Addiction (Substance Use Disorder) Counselor based in Walsenburg, CO and is specialized in Addiction (Substance Use Disorder). Edgar Carl De Van III practices in Walsenburg, CO and has the professional credentials of CACII. The NPI Number for Edgar Carl De Van III is 1215139019 and holds a License No. 6541 (Colorado).

The current practice location address for Edgar Carl De Van III is 615 Russell Ave, Walsenburg, CO and can be reached out via phone at 719-738-2076.

Location: 615 Russell Ave, Walsenburg, CO, 81089-1904
person
Provider Profile Details
NPI Number
1215139019
Provider Name
Edgar Carl De Van III
Credential
CACII
Provider Entity Type
Individual
Gender
Male
Address
615 Russell Ave, Walsenburg, CO, 81089-1904
Phone Number
719-738-2076
Fax Number
Provider Enumeration Date
06/04/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
615 Russell Ave
City
State
Zip
81089-2127
Phone Number
719-738-2076
Fax Number
person
Provider Business Mailing Address Details
Address
615 Russell Ave
City
State
Zip
81089-2127
Phone Number
719-738-2076
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
6541 (Colorado)
Definition
Definition to come...
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