Organization
DYNAMIC DIRECTIONS COUNSELING INC
Active
Organization
DYNAMIC DIRECTIONS COUNSELING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK PUTNOY (CLINICAL SUPERVISOR)
(303) 257-6715
Entity
Organization
Contact information
Practice address
7000 S BROADWAY STE 1A, CENTENNIAL, CO 80122-1064
(303) 797-1440
Mailing address
7000 S BROADWAY STE 1A, CENTENNIAL, CO 80122-1064
(303) 797-1440
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
1667-01
CO
261QM0855X
Adolescent and Children Mental Health Clinic/Center
1667-01
CO
Other
Enumeration date
08/12/2013
Last updated
08/12/2013
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