Individual
GLORY MCDANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LAC, LPC, MFTC
Contact information
Practice address
4180 CENTER PARK DR, COLORADO SPRINGS, CO 80916-4505
(720) 446-8701
Mailing address
12772 MT OXFORD PL, PEYTON, CO 80831-8205
(720) 446-8701
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACD.0001212
CO
101YM0800X
Mental Health Counselor
LPC.0016966
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
90000171725
—
CO
Enumeration date
02/25/2019
Last updated
02/21/2023
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