Individual
DALE RUSSELL WIGHTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
141 W DAVIES AVE N, STE 105, LITTLETON, CO 80120-5211
(303) 730-1717
(303) 730-1531
Mailing address
141 W DAVIES AVE N, STE 105, LITTLETON, CO 80120-5211
(303) 730-1717
(303) 730-1531
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0005573
CO
Other
Enumeration date
12/19/2013
Last updated
12/19/2013
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