Individual
SEAN MICHAEL DODGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ACC.0998461
Contact information
Practice address
20 S. FENTON ST., LAKEWOOD, CO 80226
(720) 327-3496
Mailing address
20 S FENTON ST, LAKEWOOD, CO 80226
(720) 327-3496
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACC.0998461
CO
Other
Enumeration date
06/27/2025
Last updated
06/27/2025
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