Individual
MR. JUSTIN BLUE DENTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LPC
Contact information
Practice address
7862 W MANSFIELD PKWY, BUILDING, LAKEWOOD, CO 80235-1934
(720) 879-8910
Mailing address
7862 W MANSFIELD PKWY, BUILDING, LAKEWOOD, CO 80235-1934
(720) 879-8910
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5783
CO
Other
Enumeration date
09/04/2010
Last updated
09/04/2010
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