Individual
JOHN M FARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2500 S HAVANA ST, AURORA, CO 80014-1618
(303) 657-6923
Mailing address
8145 W 71ST AVE, ARVADA, CO 80004-1832
(303) 421-7906
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
989255
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006573
KAISER-COMMERCIAL NUMBER
—
Enumeration date
03/22/2007
Last updated
07/13/2007
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