person
Richard Russell Provencial, CACII
Addiction (Substance Use Disorder) Counselor in Littleton, Colorado
NPI 1538790134

Richard Russell Provencial is an Addiction (Substance Use Disorder) Counselor based in Littleton, CO and is specialized in Addiction (Substance Use Disorder). Richard Russell Provencial practices in Littleton, CO and has the professional credentials of CACII. The NPI Number for Richard Russell Provencial is 1538790134 and holds a License No. ACB0008145 (Colorado).

The current practice location address for Richard Russell Provencial is 5360 S Elati St Apt 6, Littleton, CO and can be reached out via phone at 720-249-8862.

Location: 5360 S Elati St Apt 6, Littleton, CO, 80120-1527
person
Provider Profile Details
NPI Number
1538790134
Provider Name
Richard Russell Provencial
Credential
CACII
Provider Entity Type
Individual
Gender
Male
Address
5360 S Elati St Apt 6, Littleton, CO, 80120-1527
Phone Number
720-249-8862
Fax Number
Provider Enumeration Date
02/01/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5360 S Elati St Apt 6
City
State
Zip
80120-1527
Phone Number
720-249-8862
Fax Number
person
Provider Business Mailing Address Details
Address
5360 S Elati St Apt 6
City
State
Zip
80120-1527
Phone Number
720-249-8862
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
ACB0008145 (Colorado)
Definition
Definition to come...
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