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Waymon E Stallcup, PhD

Marriage & Family Therapist in Castle Rock, CO. Individual provider (NPI-1).

NPI number1841981198
StatusActive
Last updated in NPPESMay 17, 2023

Details

NPI
1841981198
Entity type
Individual (NPI-1)
Name
Waymon E Stallcup
Credential
PhD
Sex
Male
Sole proprietor
Yes
Enumeration date
May 17, 2023
Certification date
May 17, 2023
Last updated
May 17, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106H00000X Marriage & Family TherapistMFT.0001312COYes
101YA0400X Counselor, Addiction (Substance Use Disorder)ACD.0001257CO

Practice location

4778 Mustang Run Pl
Castle Rock, CO 80109-4574

Phone 303-242-9418

Mailing address

4778 Mustang Run Pl
Castle Rock, CO 80109-4574

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