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NPI Code Detail

MEDICARE: MR. DENNIS DWAYNE SIEFKER MA LPC MFC

MEDICARE:  MR. DENNIS DWAYNE SIEFKER  MA LPC MFC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor8182NE

General Provider Information

NPI Number : 1831240506
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DENNIS DWAYNE SIEFKER MA LPC MFC
Provider Business Mailing Address
First Line : 5940 LEATHER DR
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80923-7521
Country : US
Telephone Number : 719-377-0464
Fax Number :
Provider Business Practice Location Address
First Line : 5940 LEATHER DR
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80923-7521
Country : US
Telephone Number : 719-377-0464
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/16/2007
Last Update Date : 06/02/2021

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Directions to “ MR. DENNIS DWAYNE SIEFKER MA LPC MFC” Practice Location

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