Individual
JUSTIN A MALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
8704 YATES DR, SUITE 205, WESTMINSTER, CO 80031-6950
(303) 808-3108
Mailing address
12636 W MISSISSIPPI AVE, LAKEWOOD, CO 80228-3521
(303) 808-3108
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/30/2012
Last updated
10/10/2013
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