Glory Mcdaniel | |
5400 Ward Rd Ste 110 Arvada CO 80002-1819 | |
(720) 446-8701 | |
Not Available |
Full Name | Glory Mcdaniel |
---|---|
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 5400 Ward Rd Ste 110, Arvada, Colorado |
Authorized Official Name and Position | Glory Mcdaniel (OWNER/CLINICIAN) |
Authorized Official Contact | 7204468701 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Glory Mcdaniel 7195 Routt St Arvada CO 80004-1375 Ph: (720) 446-8701 | Glory Mcdaniel 5400 Ward Rd Ste 110 Arvada CO 80002-1819 Ph: (720) 446-8701 |
NPI Number | 1609419571 |
---|---|
Provider Enumeration Date | 10/23/2019 |
Last Update Date | 11/03/2020 |
Certification Date | 11/03/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609419571 | NPI | - | NPPES |
9000171725 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
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