Individual
MR. DION CARLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10 BOULDER CRESCENT ST STE 101E, COLORADO SPRINGS, CO 80903-3344
(719) 321-0956
Mailing address
610 LINDSTROM DR, COLORADO SPRINGS, CO 80911-3341
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
NLC0106079
CO
1041S0200X
School Social Worker
Primary
206306
CO
Other
Enumeration date
01/09/2018
Last updated
01/09/2018
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