Individual
MR. DUSTIN GLENN SHIVAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
3595 S TELLER ST, LAKEWOOD, CO 80235-2014
(303) 425-4950
(303) 432-5939
Mailing address
3595 S TELLER ST, LAKEWOOD, CO 80235-2014
(303) 425-4950
(303) 432-5939
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
CSW.09924412
CO
Other
Enumeration date
09/15/2008
Last updated
07/16/2021
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