Individual
DR. STACY ANN REUILLE DUPONT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1305 ESCALANTE DR # 203, DURANGO, CO 81303-8931
(970) 749-8227
Mailing address
1305 ESCALANTE DR # 203, DURANGO, CO 81303-8931
(970) 749-8227
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
PSY.0004577
CO
Other
Enumeration date
11/12/2009
Last updated
07/23/2024
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