Individual
ADAM DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LPC
Contact information
Practice address
950 S CHERRY ST STE 1675, DENVER, CO 80246-2532
(720) 380-3564
Mailing address
6343 W 120TH AVE STE 105, BROOMFIELD, CO 80020-3701
(720) 380-3564
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000210346
—
CO
Enumeration date
07/09/2020
Last updated
09/01/2024
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