Individual
DUSTIN TED POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC, MA, CACIII
Contact information
Practice address
60615 U.S. HIGHWAY 285, BAILEY, CO 80421
(303) 838-5406
(888) 958-1156
Mailing address
PO BOX 1241, BAILEY, CO 80421-8241
(303) 838-5406
(888) 805-4990
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ACC-6804
CO
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
LPC-6245
CO
Other
Enumeration date
04/09/2007
Last updated
12/22/2021
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