Organization
KAREN NAKAYAMA, PSY.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STACY REUILLE-DUPONT PH.D. (MANAGER)
(970) 749-8227
Entity
Organization
Contact information
Practice address
1305 ESCALANTE DR STE 203, DURANGO, CO 81303-8932
(970) 749-8227
Mailing address
PO BOX 1121, BAYFIELD, CO 81122-1121
(970) 779-0150
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/29/2020
Last updated
09/29/2020
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