Individual
MS. PENNY HATTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAC III
Contact information
Practice address
605 E MIAMI RD, MONTROSE, CO 81401
(970) 249-9694
(970) 249-2955
Mailing address
PO BOX 1208, MONTROSE, CO 81402
(970) 249-9694
(970) 249-2955
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
4165
CO
Other
Enumeration date
07/11/2006
Last updated
07/08/2007
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