Individual
CHARLES DAVID MANDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11297 W 55TH LN, ARVADA, CO 80002-4912
(720) 598-2098
Mailing address
11297 W 55TH LN, ARVADA, CO 80002-4912
(720) 598-2098
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
0001795
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/01/2016
Last updated
12/17/2020
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