Palm, Connie

Palm, Connie is an individual health care provider with primary practice located at 1615 Bonforte Blvd , Pueblo CO 81001-1602. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Palm, Connie can be contacted via phone (719) 404-1992.

Contact Information

Primary practice address
1615 Bonforte Blvd Pueblo CO 81001-1602
Phone: (719) 404-1992
Fax: (719) 404-1996
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 7136 Colorado

Profile Details

NPI number 1790223634
LBN Legal business name Palm, Connie
Credentials CAC III
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2017
Last updated Feb 10th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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