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Individual

MS. CORNELIA JOAN DOCKINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CACIII

Contact information

Practice address
825 IVANHOE ST, DENVER, CO 80220-4442
(720) 339-3050
(303) 484-9350
Mailing address
5032 FONTANA CT, DENVER, CO 80239-4278
(303) 484-9350
(303) 484-9350

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
3639
CO
101YP1600X
Pastoral Counselor
3639
CO

Other

Enumeration date
09/02/2009
Last updated
09/02/2009
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