Individual
DEBRA JO LANDOLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LAC
Contact information
Practice address
2664 SACOMA CT, GRAND JCT, CO 81506-1834
(970) 261-5254
Mailing address
2664 SACOMA CT, GRAND JCT, CO 81506-1834
(970) 261-5254
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ACD.0000613
CO
101YP2500X
Professional Counselor
Primary
0013950
CO
Other
Enumeration date
02/14/2014
Last updated
04/04/2025
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