Individual
MR. JOHN RICHARD STAUTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A., L.P.C., N.C.C.
Contact information
Practice address
17210 PROSPECTOR DR, PEYTON, PEYTON, CO 80831-9375
(719) 749-0075
Mailing address
PO BOX 13, PEYTON, PEYTON, CO 80831-0013
(719) 749-0075
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4706
CO
Other
Enumeration date
03/19/2011
Last updated
03/19/2011
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