Individual
JANE DALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
281 SAWYER DR STE 100, DURANGO, CO 81303-3409
(970) 565-7946
Mailing address
PO BOX 3602, DURANGO, CO 81302-3602
(928) 899-2655
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6001
CO
Other
Enumeration date
02/06/2012
Last updated
02/06/2012
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