Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | 3909 | CO |
NPI | 1003023599 |
---|---|
Provider Name | Ms. Cindy Trollinger |
First Address | Englewood, CO 80110-3499 |
Second Address | Englewood, CO 80110-3499 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/05/2007 |
Last Update Date | 08/07/2007 |