Provider Demographics
NPI:1952957797
Name:STUEVE, RANDAL JOHN (LPCC)
Entity Type:Individual
Prefix:
First Name:RANDAL
Middle Name:JOHN
Last Name:STUEVE
Suffix:
Gender:M
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:114 TIERRA VISTA DR
Mailing Address - Street 2:
Mailing Address - City:DURANGO
Mailing Address - State:CO
Mailing Address - Zip Code:81301-7784
Mailing Address - Country:US
Mailing Address - Phone:970-769-4720
Mailing Address - Fax:
Practice Address - Street 1:100 JENKINS RANCH RD UNIT E1
Practice Address - Street 2:
Practice Address - City:DURANGO
Practice Address - State:CO
Practice Address - Zip Code:81301-9473
Practice Address - Country:US
Practice Address - Phone:970-422-3830
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-16
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC.0018656101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health