Individual
DR. RALPH S. DATEMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D MIN.
Contact information
Practice address
1564 SENTER AVE, BURLINGTON, CO 80807-1645
(303) 974-0947
Mailing address
6355 WARD RD UNIT 212, ARVADA, CO 80004-3822
(303) 974-0947
(720) 242-6991
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
—
CO
106H00000X
Marriage & Family Therapist
Primary
105
CO
106H00000X
Marriage & Family Therapist
1441 76
NE
Other
Enumeration date
05/15/2007
Last updated
08/15/2011
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