GINA LACRUE CAC 1
NPI 1205393162
Counselor - Addiction (Substance Use Disorder) in Pueblo, CO

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).

Active since February 27, 2019

3500 BALTIMORE AVE, PUEBLO, CO 81008(719) 545-1181 Get Directions Write a Review

NPPES record last updated: February 27, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Gina Lacrue Cac 1 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GINA LACRUE CAC 1 (NPI 1205393162) is an individual addiction (substance use disorder) provider in Pueblo, Colorado and active in the NPI registry since February 2019.

NPPES Registry Identity

NPI1205393162

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameGINA LACRUECredential: CAC 1

Location Address3500 BALTIMORE AVEPueblo, CO 81008-1543

Mailing Address3500 Baltimore AvePueblo, CO 81008-1543

Phone(719) 545-1181

Sole ProprietorNo

Enumeration DateFebruary 27, 2019

✔ NPI 1205393162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

3500 BALTIMORE AVE, Pueblo, CO 81008

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Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. JOAN LEE FONTAINE

Counselor (Mental Health)