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Individual

JUDY LYNN AUSTIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, LPC

Contact information

Practice address
281 GULCH RD, DURANGO, CO 81303-6452
(970) 764-7142
Mailing address
281 GULCH RD, DURANGO, CO 81303-6452
(970) 764-7142

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0005558
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
24858
MORNEAU-SHEPPELL
Enumeration date
10/31/2020
Last updated
10/31/2020
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