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Individual

MR. JASON DEAN DAGG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
BA, CAC III

Contact information

Practice address
1826 E PLATTE AVE STE 223, COLORADO SPRINGS, CO 80909-5738
(719) 510-2979
Mailing address
1826 E PLATTE AVE STE 223, COLORADO SPRINGS, CO 80909-5738
(719) 510-2979

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACC.0020810
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
ACC.0020810
ADDICTION COUNSELOR CERTIFICATION COLORADO DEPARTMENT OF REGULATORY AGENCIES
CO
Enumeration date
02/25/2010
Last updated
07/13/2016
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