Doctor Name: | CHRIS TEIPEL |
NPI Number: | 1154765501 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 0000312 |
Business Practice Address: | 28350 County Road 317 Buena Vista, CO - 812119228 |
Business Phone Number: | 7193954673 |
Business Fax Number: | |
Mailing Address: | Po Box 709, BUENA VISTA |
State: | CO |
Postal Code: | 812110709 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 04/28/2013 |
NPI Last Update Date: | 07/04/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 0000312 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |