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Organization
SOUTHWEST COLORADO DBT LLC
Active
Organization
SOUTHWEST COLORADO DBT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LYNNE M ROSENBERG LPC, LAC (OWNER)
(414) 315-0897
Entity
Organization
Contact information
Practice address
1309 E 3RD AVE UNIT B-5, DURANGO, CO 81301-5255
(414) 315-0897
(970) 459-1141
Mailing address
1309 E 3RD AVE UNIT B-5, DURANGO, CO 81301-5255
(414) 315-0897
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114449063
—
CO
05
—
1225620172
—
CO
05
—
1336586981
—
WI
Enumeration date
02/11/2022
Last updated
02/11/2022
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