Individual
DOLORES DURAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LAC
Contact information
Practice address
PO BOX 9504, PUEBLO, CO 81008-9400
(719) 369-0012
Mailing address
PO BOX 9504, PUEBLO, CO 81008-9400
(719) 369-0012
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ACD.0002079
CO
1041C0700X
Clinical Social Worker
Primary
CSW.09930901
CO
Other
Enumeration date
07/24/2018
Last updated
10/02/2024
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