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1073284634
ETHAN DAHLBERG
COLORADO SPRINGS, CO
NPI
1073284634
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: CO LPC.0019385)
Enumeration Date
2021-09-23
Last Update Date
2023-06-08
Business Address
ETHAN DAHLBERG
5360 N ACADEMY BLVD STE 290
COLORADO SPRINGS, CO 80918-4038
Phone number: 719-286-0242
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Mailing Address
ETHAN DAHLBERG
5360 N ACADEMY BLVD STE 290
COLORADO SPRINGS, CO 80918-4038
Phone number: 719-434-2160
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