Individual
DASHA KOTALIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, CACII
Contact information
Practice address
10500 SMITH RD, DENVER, CO 80239-3232
(720) 913-3789
Mailing address
PO BOX 1108, DENVER, CO 80201-1108
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0007722
CO
1041C0700X
Clinical Social Worker
Primary
09924253
CO
Other
Enumeration date
07/01/2016
Last updated
07/01/2016
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