Individual
DANIEL GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1200 YARMOUTH AVE, UNIT C-1B, BOULDER, CO 80304-4803
(303) 786-9314
Mailing address
1200 YARMOUTH AVE, UNIT C-1B, BOULDER, CO 80304-4803
(303) 786-9314
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
NLC0104273
CO
Other
Enumeration date
01/17/2015
Last updated
01/17/2015
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