Individual
MR. DAN MORTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1455 DIXON AVE, LAFAYETTE, CO 80026-8879
(303) 746-3470
Mailing address
3333 ONEAL PKWY APT 3, BOULDER, CO 80301-1959
(303) 746-3470
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
102L00000X
Psychoanalyst
XXX
CO
102L00000X
Psychoanalyst
—
—
Other
Enumeration date
05/03/2021
Last updated
05/03/2021
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