| Samantha M Charytoniuk, Llc, Lpc | |
|
409 Main St Ste 220f Frisco CO 80443-5929 | |
| (970) 310-4006 | |
| Not Available |
| Full Name | Samantha M Charytoniuk, Llc, Lpc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 409 Main St Ste 220f, Frisco, Colorado |
| Authorized Official Name and Position | Samantha M 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 415 Vail Cir Dillon CO 80435-8310 Ph: (970) 310-4006 | Samantha M Charytoniuk, Llc, Lpc 409 Main St Ste 220f Frisco CO 80443-5929 Ph: (970) 310-4006 |
| NPI Number | 1548835770 |
|---|---|
| Provider Enumeration Date | 05/20/2021 |
| Last Update Date | 05/20/2021 |
| Certification Date | 05/20/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548835770 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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