Individual
THERESE MARGARET PELOQUIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
8745 COUNTY ROAD 9 S, ALAMOSA, CO 81101-9610
(719) 589-3671
Mailing address
PO BOX 731, CRESTONE, CO 81131-0731
(719) 256-5304
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
4521
CO
Other
Enumeration date
01/05/2007
Last updated
07/08/2007
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