Individual
ETHAN DAHLBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5360 N ACADEMY BLVD STE 290, COLORADO SPRINGS, CO 80918-4038
(719) 286-0242
Mailing address
5360 N ACADEMY BLVD STE 290, COLORADO SPRINGS, CO 80918-4038
(719) 434-2160
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC.0019385
CO
Other
Enumeration date
09/23/2021
Last updated
06/08/2023
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