Individual
ALEXANDER PALACHE GUTTERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
811 MAIN CT, CARBONDALE, CO 81623-1851
(218) 349-9610
Mailing address
811 MAIN CT, CARBONDALE, CO 81623-1851
(218) 349-9610
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPCC.0020050
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LPCC.0020050
STATE OF CORADO
CO
Enumeration date
10/24/2024
Last updated
10/24/2024
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