Provider Demographics
NPI:1518634039
Name:SWEET, FRANCINE (MA, MS, ADDC)
Entity Type:Individual
Prefix:
First Name:FRANCINE
Middle Name:
Last Name:SWEET
Suffix:
Gender:F
Credentials:MA, MS, ADDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2660 W UINTAH ST APT 5
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80904-2538
Mailing Address - Country:US
Mailing Address - Phone:719-465-8086
Mailing Address - Fax:
Practice Address - Street 1:839 S CIRCLE DR
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80910-2326
Practice Address - Country:US
Practice Address - Phone:719-578-5433
Practice Address - Fax:719-578-5434
Is Sole Proprietor?:No
Enumeration Date:2021-08-23
Last Update Date:2021-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COADDC.0000132101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO95-220-0421OtherDMV