Individual
GLENN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
662 GRANT ST, DENVER, CO 80203-3507
(303) 717-7286
Mailing address
662 GRANT ST, DENVER, CO 80203-3507
(303) 717-7286
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0104003
CO
Other
Enumeration date
05/17/2014
Last updated
05/17/2014
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