Individual
DUSTIN MAX MANCINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPCC
Contact information
Practice address
1280 S UTE AVE STE 16, ASPEN, CO 81611-2259
(970) 309-4732
Mailing address
910 W HALLAM ST APT 1, ASPEN, CO 81611-1158
(970) 309-4732
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPCC0014597
CO
Other
Enumeration date
12/14/2017
Last updated
12/14/2017
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