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Individual

DANIEL J LEBSACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
700 VALLEY VIEW DR UNIT D, WOODLAND PARK, CO 80863-8000
(719) 290-4393
Mailing address
211 PENNSYLVANIA AVE, WOODLAND PARK, CO 80863-8823
(972) 834-0604

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
14643
CO
101YP2500X
Professional Counselor
76462
TX

Other

Enumeration date
08/01/2018
Last updated
09/17/2018
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