Individual
DR. ADRIENNE PANTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD, LPC
Contact information
Practice address
1032 1/2 MAIN AVE, DURANGO, CO 81301-5124
(970) 946-8123
(970) 764-4592
Mailing address
PO BOX 608, PAGOSA SPRINGS, CO 81147-0608
(970) 946-8123
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0012827
CO
101YP2500X
Professional Counselor
0012827
CO
103TC0700X
Clinical Psychologist
Primary
PSY.0005030
CO
Other
Enumeration date
07/25/2016
Last updated
11/10/2020
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