Healthcare Provider Details

I. General information

NPI: 1013180223
Provider Name (Legal Business Name): CURT DUANE SPYKSTRA LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/09/2008
Last Update Date: 04/09/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2490 W 26TH AVE STE 250A
DENVER CO
80211-5369
US

IV. Provider business mailing address

2490 W 26TH AVE STE 250A
DENVER CO
80211-5369
US

V. Phone/Fax

Practice location:
  • Phone: 303-429-5099
  • Fax: 303-432-6190
Mailing address:
  • Phone: 303-429-5099
  • Fax: 303-432-6190

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number4624
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number0375653
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: