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Individual

DWAYNE GERALD SPINLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MS, LPC, LAC

Contact information

Practice address
13417 UINTA ST, THORNTON, CO 80602-8493
(970) 481-4480
Mailing address
13417 UINTA ST, THORNTON, CO 80602-8493
(970) 481-4480

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5318
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
9704814480
N/A
CO
Enumeration date
04/13/2021
Last updated
04/13/2021
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