Individual provider · Type 1 NPI

Lisel Marie Von Duyke

Mental Health Counselor · Wheat Ridge, CO

NPI number 1740677707 Active

Practice location

4851 Independence St, Suite 200
Wheat Ridge, CO 80033-6715

Fax (303) 432-5071

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed
Professional Counselor 101YP2500XNone listed

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About NPI 1740677707

Lisel Marie Von Duyke's National Provider Identifier is 1740677707, issued on Apr 16, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Wheat Ridge, CO. The record was last updated on Apr 16, 2015.