Individual
DR. BEVERLY NANNETTE MCGILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.MIN.
Contact information
Practice address
2843 WELTON ST, DENVER, CO 80205-3019
(303) 294-0972
(303) 294-9005
Mailing address
2843 WELTON ST, DENVER, CO 80205-3019
(303) 294-0972
(303) 294-9005
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
68
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1470-00
ALCOHOL TREATMENT FACILIT
CO
05
—
56104251
—
CO
01
—
68
LISCENSED ADDICTION COUNS
CO
Enumeration date
06/21/2007
Last updated
07/08/2007
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