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Individual
JUSTIN BRENT WALMSLEY
Active
Individual
JUSTIN BRENT WALMSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAC, MFTC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ACD.0002505
CO
106H00000X
Marriage & Family Therapist
Primary
MFTC.0014400
CO
Other
Enumeration date
01/06/2020
Last updated
10/21/2024
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