Individual provider · Type 1 NPI
Shallon Dusebout, LPC
Mental Health Counselor · Longmont, CO
NPI number
1710872015
Active
Practice location
13770 Davis Ln
Longmont, CO 80504-9100
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | LPC.0017853 (CO) |
Mental Health Counselor: Definition to come...
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About NPI 1710872015
Shallon Dusebout, LPC's National Provider Identifier is 1710872015, issued on Jun 9, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Longmont, CO. The record was last updated on Jun 9, 2025.