Individual
JASON DVORAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
6541 SPECKER AVE, FORT CARSON, CO 80913-4263
(701) 781-4085
Mailing address
6780 ABITA DR, COLORADO SPRINGS, CO 80925-9666
(701) 781-4085
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LSW.0009925438
CO
1041C0700X
Clinical Social Worker
Primary
14282246-3501
UT
Other
Enumeration date
02/28/2025
Last updated
04/16/2026
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