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Individual

DUSTIN RYDER HILES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
100 ARAPAHOE AVE STE 9, BOULDER, CO 80302-5854
(970) 614-8765
Mailing address
1905 15TH ST UNIT 2091, BOULDER, CO 80306-8483
(970) 614-8765

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0017257
CO
101YP2500X
Professional Counselor
0017257
CO

Other

Enumeration date
06/24/2021
Last updated
06/24/2021
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