Individual
DANITASTVRAIN STVRAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAC III
Contact information
Practice address
777 BANNOCK ST, DENVER, CO 80204-4507
(303) 602-2716
Mailing address
812 NOB HILL TRL, FRANKTOWN, CO 80116-7917
(720) 225-8172
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0007215
CO
Other
Enumeration date
11/08/2013
Last updated
11/08/2013
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