MR. JUSTIN BLUE DENTRY MS, LPC
NPI 1518274075
Counselor - Mental Health in Lakewood, CO
Active since September 04, 2010
About Mr. Justin Blue Dentry Ms, Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. JUSTIN BLUE DENTRY MS, LPC (NPI 1518274075) is an individual mental health provider in Lakewood, Colorado, licensed in Colorado (5783) and active in the NPI registry since September 2010.
NPPES Registry Identity
NPI1518274075
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. JUSTIN BLUE DENTRYCredential: MS, LPC
Location Address7862 W MANSFIELD PKWY, BUILDINGLakewood, CO 80235-1934
Mailing Address7862 W Mansfield Pkwy, BuildingLakewood, CO 80235-1934 · (720) 879-8910
Phone(720) 879-8910
Sole ProprietorNo
Enumeration DateSeptember 4, 2010
✔ NPI 1518274075 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in CO · 5783
7862 W MANSFIELD PKWY, Lakewood, CO 80235
Other Providers at the Same Location NPPES 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1518274075, enumerated as an "individual" on September 04, 2010.
The provider is located at 7862 W MANSFIELD PKWY BUILDING LAKEWOOD, CO 80235 and the phone number is (720) 879-8910.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.