Individual
GWEN PROUTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, CAC111
Contact information
Practice address
28101 E QUINCY AVE, WATKINS, CO 80137-9502
(303) 766-3000
Mailing address
28101 E QUINCY AVE, WATKINS, CO 80137-9502
(303) 766-3000
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC.0004968
CO
Other
Enumeration date
03/22/2017
Last updated
03/22/2017
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