Individual
MR. DUSTIN MICHAEL BIRDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1300 N 17TH AVE, GREELEY, CO 80631-9584
(970) 347-2120
Mailing address
1300 N 17TH AVE, GREELEY, CO 80631-9584
(970) 347-2120
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC.0017092
CO
101YP2500X
Professional Counselor
P1705299
AR
Other
Enumeration date
01/13/2015
Last updated
02/06/2023
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