Provider Demographics
NPI:1083918247
Name:ARGUELLO, LEO PAUL (CAC III #7025)
Entity Type:Individual
Prefix:MR
First Name:LEO
Middle Name:PAUL
Last Name:ARGUELLO
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Gender:M
Credentials:CAC III #7025
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Mailing Address - Street 1:4 MONTEBELLO ROAD
Mailing Address - Street 2:CROSSROADS' TURNING POINTS, INC
Mailing Address - City:PUEBLO
Mailing Address - State:CO
Mailing Address - Zip Code:81001
Mailing Address - Country:US
Mailing Address - Phone:719-546-6667
Mailing Address - Fax:719-546-8273
Practice Address - Street 1:1711 EAST EVANS AVENUE
Practice Address - Street 2:CTP, M-IRT
Practice Address - City:PUEBLO
Practice Address - State:CO
Practice Address - Zip Code:81004
Practice Address - Country:US
Practice Address - Phone:719-566-0234
Practice Address - Fax:719-564-7212
Is Sole Proprietor?:No
Enumeration Date:2011-01-03
Last Update Date:2011-01-03
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Provider Licenses
StateLicense IDTaxonomies
CO7025101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)