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Individual

DENVER DELLALUCIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
6805 CORPORATE DR STE 120, COLORADO SPRINGS, CO 80919-1977
(719) 726-8811
Mailing address
6738 WILD INDIGO DR, COLORADO SPRINGS, CO 80923-8826
(503) 702-5323

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LH.61473172
WA
101YM0800X
Mental Health Counselor
Primary
LPC.0018941
CO
106S00000X
Behavior Technician
521140
HI

Other

Enumeration date
10/10/2020
Last updated
04/19/2024
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