| Samantha M Charytoniuk, Llc, Lpc | |
| 
					409 Main St Ste 220f Frisco CO 80443-5929  | |
| (970) 310-4006 | |
| Not Available | 
| Full Name | Samantha M Charytoniuk, Llc, Lpc | 
|---|---|
| Speciality | Counselor - Professional | 
| Location | 409 Main St Ste 220f, Frisco, Colorado | 
| Authorized Official Name and Position | Samantha M Charytoniuk (OWNER) | 
| Authorized Official Contact | 9703104006 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Samantha M Charytoniuk, Llc, Lpc 415 Vail Cir Dillon CO 80435-8310 Ph: (970) 310-4006  | Samantha M Charytoniuk, Llc, Lpc 409 Main St Ste 220f Frisco CO 80443-5929 Ph: (970) 310-4006  | 
| NPI Number | 1548835770 | 
|---|---|
| Provider Enumeration Date | 05/20/2021 | 
| Last Update Date | 05/20/2021 | 
| Certification Date | 05/20/2021 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1548835770 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary | 
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