Individual
TREVER SHIRIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6180 LEHMAN DR STE 100, COLORADO SPRINGS, CO 80918-3415
(719) 208-9212
Mailing address
7791 MANISTIQUE DR, COLORADO SPRINGS, CO 80923-7453
(719) 208-9212
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0017540
CO
Other
Enumeration date
06/17/2020
Last updated
06/17/2020
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