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Organization
CREEKSIDE COUNSELING, LLC
Active
Organization
CREEKSIDE COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA A DYKES MA, LPC, CACII (OWNER/THERAPIST)
(970) 641-1286
Entity
Organization
Contact information
Practice address
211 N IOWA ST, GUNNISON, CO 81230-2219
(970) 641-1286
(970) 641-4648
Mailing address
211 N IOWA ST, GUNNISON, CO 81230-2219
(970) 641-1286
(970) 641-4648
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1417080920
INDIVIDUAL NPI
CO
Enumeration date
08/05/2013
Last updated
08/05/2013
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