Provider Demographics
NPI:1427749183
Name:DUGGER, VERNON RAY (LPCC0017757)
Entity type:Individual
Prefix:
First Name:VERNON
Middle Name:RAY
Last Name:DUGGER
Suffix:
Gender:M
Credentials:LPCC0017757
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 PARADISE RD
Mailing Address - Street 2:
Mailing Address - City:GOLDEN
Mailing Address - State:CO
Mailing Address - Zip Code:80401-9461
Mailing Address - Country:US
Mailing Address - Phone:303-591-3498
Mailing Address - Fax:
Practice Address - Street 1:23 PARADISE RD
Practice Address - Street 2:
Practice Address - City:GOLDEN
Practice Address - State:CO
Practice Address - Zip Code:80401-9461
Practice Address - Country:US
Practice Address - Phone:303-591-3498
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-15
Last Update Date:2023-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPCC.0017757101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor