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Individual

MR. COLTON RUSSELL HAUPT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
BST/PSR

Contact information

Practice address
2201 N BUFFALO DR, APT 1027, LAS VEGAS, NV 89128-1034
(702) 738-2322
Mailing address
2201 N BUFFALO DR, APT 1027, LAS VEGAS, NV 89128-1034
(702) 738-2322

Taxonomy

Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
01/05/2012
Last updated
01/05/2012
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