Individual
DUSTIN HALLIWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
530 COMMUNINCATION CIR., COLORADO SPRINGS, CO 80905-4263
(562) 221-0712
Mailing address
6541 SPECKER AVE BLDG 1830, COLORADO SPRINGS, CO 80913-4263
(719) 503-7922
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW09926366
CO
Other
Enumeration date
06/30/2016
Last updated
07/15/2022
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