Individual
ANNALEE MARY COUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
107 W 11TH ST, DELTA, CO 81416-1811
(970) 399-2921
(970) 874-4169
Mailing address
107 W 11TH ST, DELTA, CO 81416-1811
(970) 399-2921
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
12/21/2020
Last updated
12/21/2020
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