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MR. RANDOLPH STANKO M.A., LMFT

>> Marriage & Family Therapist >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1215077318

Individual Registrant:
MR. RANDOLPH  STANKO M.A., LMFT
Gender: M
Sole Proprietor

Location and contact information for practice:
680 SECOND STREET  OURAY, CO 81427-0698 US
Tel: 970-325-7392  Fax: 970-325-7392

Contact information for business:
PO BOX 268 680 SECOND STREET OURAY, CO 81427-0268 US
Tel: 970-325-7380  Fax: 970-325-7392

Registration Information:
NPI: 1215077318
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N106H00000XBehavioral Health & Social Service Providers
Marriage & Family Therapist
CAMFT 23216
Y106H00000XBehavioral Health & Social Service Providers
Marriage & Family Therapist
COMFT 0193

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
ROCK MOUNTAIN HEALTH PLAN84-1266851-001CO01




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