Individual
ERIC C POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
2855 MAIN AVE STE A105, DURANGO, CO 81301-5959
(970) 382-6690
(970) 382-0207
Mailing address
200 JENKINS RANCH RD, DURANGO, CO 81301-9483
(970) 247-2035
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY2927
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PSY2927
ST LICENSE
CO
Enumeration date
09/26/2006
Last updated
07/08/2007
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