person
Shannan Tiphareth
Addiction (Substance Use Disorder) Counselor in Pueblo, Colorado
NPI 1871100719

Shannan Tiphareth is an Addiction (Substance Use Disorder) Counselor based in Pueblo, CO and is specialized in Addiction (Substance Use Disorder). Shannan Tiphareth practices in Pueblo, CO. The NPI Number for Shannan Tiphareth is 1871100719 and holds a License No. ACB.0008677 (Colorado).

The current practice location address for Shannan Tiphareth is 3470 Baltimore Ave, Pueblo, CO and can be reached out via phone at 719-369-3781.

Location: 3470 Baltimore Ave, Pueblo, CO, 81008-1520
person
Provider Profile Details
NPI Number
1871100719
Provider Name
Shannan Tiphareth
Credential
Provider Entity Type
Individual
Gender
Female
Address
3470 Baltimore Ave, Pueblo, CO, 81008-1520
Phone Number
719-369-3781
Fax Number
Provider Enumeration Date
09/24/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3470 Baltimore Ave
City
State
Zip
81008-1520
Phone Number
719-369-3781
Fax Number
person
Provider Business Mailing Address Details
Address
3470 Baltimore Ave
City
State
Zip
81008-1520
Phone Number
719-369-3781
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
ACB.0008677 (Colorado)
Definition
Definition to come...
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