Individual
DANIELLE KOROSEC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4851 INDEPENDENCE ST, SUITE 200, WHEAT RIDGE, CO 80033-6715
(303) 425-0300
(303) 432-5071
Mailing address
4851 INDEPENDENCE ST, SUITE 200, WHEAT RIDGE, CO 80033-6715
(303) 425-0300
(303) 432-5071
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0004770
CO
101YP2500X
Professional Counselor
55936245
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
55936245
—
CO
Enumeration date
10/24/2007
Last updated
08/23/2021
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