Most Relevant Information
Provider Data
| NPI Number: | 1003024381 |
| Provider Name: | DARREN MITCHELL SPEIER BS CAC II |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: | 6138 |
Most Important Dates
| Enumeration Date: | 05/18/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
509 E 13TH ST
PUEBLO
CO
810012940
Practice Location Phone/Fax
| Phone: | 7195466666 |
| Fax: | 7195437764 |
Provider Mailing Location
751 S WOLCOTT DR
PUEBLO WEST
CO
810071738
Provider Mailing Phone/Fax
| Phone: | 7195451420 |
| Fax: |