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Individual

MS. DIANNE MAY WHITTEMORE ANDERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
EDD LPC

Contact information

Practice address
211 GRAND AVE, PAONIA, CO 81428
(970) 527-3027
(970) 527-3027
Mailing address
PO BOX 1634, PAONIA, CO 81428
(970) 527-3027
(970) 527-3027

Taxonomy

Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
2366
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
337245
CO
01
841439569002
ROCKY MTN HEALTH PLANS
CO
Enumeration date
11/14/2007
Last updated
11/14/2007
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