Individual
MR. DUSTAN CARL HICKS DIIORIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
2950 TENNYSON ST, DENVER, CO 80212-3029
(303) 433-2541
Mailing address
2950 TENNYSON ST, DENVER, CO 80212-3029
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0013303
CO
Other
Enumeration date
06/07/2013
Last updated
09/13/2016
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