Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | 4624 | CO |
N | 101YS0200X | School Counselor | 0375653 | CO |
NPI | 1013180223 |
---|---|
Provider Name | Mr. Curt Duane Spykstra |
First Address | Denver, CO 80211-5369 |
Second Address | Denver, CO 80211-5369 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/04/2008 |
Last Update Date | 09/04/2008 |