Individual
ADAM SLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
900 S BROADWAY, STE 100, DENVER, CO 80209-4198
(303) 603-3020
Mailing address
526 E 2ND AVE, DENVER, CO 80203-4107
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/11/2008
Last updated
02/11/2008
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