Individual
JONATHAN DAVID DEN HARTOG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
7475 W 5TH AVE, LAKEWOOD, CO 80226-1649
(303) 999-1078
Mailing address
7478 W 10TH AVE, LAKEWOOD, CO 80214-4292
(303) 999-1078
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
13600
CO
Other
Enumeration date
01/25/2012
Last updated
01/25/2012
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