Individual
JUSTIN ROSS UPWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
777 BANNOCK ST, DENVER, CO 80204-4597
(303) 436-6388
(303) 602-4560
Mailing address
777 BANNOCK ST, DENVER, CO 80204-4597
(303) 436-6388
(303) 602-4560
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ACD.0001282
CO
101YP2500X
Professional Counselor
Primary
LPC.0016219
CO
Other
Enumeration date
11/07/2017
Last updated
01/07/2025
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