| Doctor Name: | PEGGY EAKIN |
| NPI Number: | 1083748511 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CAC II |
| License Number: | 4385 |
| Business Practice Address: | 8745 County Road 9 S Alamosa, CO - 811019610 |
| Business Phone Number: | 7195893671 |
| Business Fax Number: | 7195899136 |
| Mailing Address: | 8745 County Road 9 S, ALAMOSA |
| State: | CO |
| Postal Code: | 811019610 |
| Phone Number: | 7195893671 |
| Fax Number: | 7195899136 |
| NPI Enumeration Date: | 03/15/2007 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 4385 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |