Individual
KATE DALTHORP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
90 LARIAT LOOP, EDWARDS, CO 81620
(970) 926-8558
(970) 926-6845
Mailing address
PO BOX 19000, PMB 240, AVON, CO 81620
(970) 926-8558
(970) 926-6845
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
6139
CO
101YM0800X
Mental Health Counselor
Primary
3135
CO
Other
Enumeration date
08/21/2008
Last updated
08/21/2008
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