Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | ACB.0007347 | CO |
Y | 101YP2500X | Professional Counselor | LPC.0004797 | CO |
NPI | 1013040161 |
---|---|
Provider Name | Stanley Schleifer |
First Address | Pueblo, CO 81001-1851 |
Second Address | Pueblo, CO 81001-1851 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/03/2007 |
Last Update Date | 01/10/2018 |