Gina Lacrue, CAC 1

NPI #1205393162 in Pueblo, Colorado

Provider Information

NPI Number: 1205393162
Entity Type: Individual
Name: Gina Lacrue, CAC 1
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Credential: CAC 1
Enumeration Date: Feb 27, 2019
Last Updated: Feb 27, 2019

Practice Location

Address: 3500 BALTIMORE AVE
City: Pueblo
State: Colorado
ZIP Code: 81008-1543
Phone: (719) 545-1181

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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