Individual
DINA MARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED, NCC
Contact information
Practice address
1287 LAKE PLAZA DR, COLORADO SPRINGS, CO 80906-3553
(719) 362-5440
Mailing address
3360 SPRINGRIDGE CIR, COLORADO SPRINGS, CO 80906-3734
(719) 339-8294
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC.0017543
CO
101YS0200X
School Counselor
289529
CO
Other
Enumeration date
04/12/2020
Last updated
10/06/2021
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