| Samantha M Charytoniuk, Llc, Lpc | |
|
324 Rogers Ln Durango CO 81303-6679 | |
| (970) 310-4006 | |
| Not Available |
| Full Name | Samantha M Charytoniuk, Llc, Lpc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 324 Rogers Ln, Durango, Colorado |
| Authorized Official Name and Position | Samantha Charytoniuk (OWNER) |
| Authorized Official Contact | 9703104006 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Samantha M Charytoniuk, Llc, Lpc 324 Rogers Ln Durango CO 81303-6679 Ph: () - | Samantha M Charytoniuk, Llc, Lpc 324 Rogers Ln Durango CO 81303-6679 Ph: (970) 310-4006 |
| NPI Number | 1124773346 |
|---|---|
| Provider Enumeration Date | 02/16/2022 |
| Last Update Date | 02/16/2022 |
| Certification Date | 02/16/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124773346 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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