Individual
PENNY GAYLE ALTHEN-SUMNER I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
509 E 13TH ST, PUEBLO, CO 81001-2940
(719) 546-6666
(719) 543-7764
Mailing address
PO BOX 8951, PUEBLO, CO 81008-8951
(719) 546-6666
(719) 543-7764
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/11/2007
Last updated
07/08/2007
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