| Doctor Name: | MR. JOHN RICHARD STAUTER |
| NPI Number: | 1730488594 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.A., L.P.C., N.C.C. |
| License Number: | 4706 |
| Business Practice Address: | 17210 Prospector Dr Peyton Peyton, CO - 808319375 |
| Business Phone Number: | 7197490075 |
| Business Fax Number: | |
| Mailing Address: | Po Box 13, Peyton PEYTON |
| State: | CO |
| Postal Code: | 808310013 |
| Phone Number: | 7197490075 |
| Fax Number: | |
| NPI Enumeration Date: | 03/19/2011 |
| NPI Last Update Date: | 03/19/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 4706 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |