Individual
KATIE A EASTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
191 E. AGATE AVENUE, GRANBY, CO 80446
(970) 531-0501
(970) 887-2293
Mailing address
PO BOX 903, GRAND LAKE, CO 80447-0903
(970) 531-0501
(970) 887-2293
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
11384
CO
Other
Enumeration date
01/12/2011
Last updated
11/03/2014
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