Individual
DARA J DENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4748 CHICAGO AVE, MINNEAPOLIS, MN 55407-4310
(312) 476-9464
Mailing address
4748 CHICAGO AVE, MINNEAPOLIS, MN 55407-4310
(312) 476-9464
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
180009738
IL
101YP2500X
Professional Counselor
02350
MN
Other
Enumeration date
01/24/2013
Last updated
01/16/2020
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