| Glory Mcdaniel | |
|
5400 Ward Rd Ste 110 Arvada CO 80002-1819 | |
| (720) 446-8701 | |
| Not Available |
| Full Name | Glory Mcdaniel |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 5400 Ward Rd Ste 110, Arvada, Colorado |
| Authorized Official Name and Position | Glory Mcdaniel (OWNER/CLINICIAN) |
| Authorized Official Contact | 7204468701 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Glory Mcdaniel 7195 Routt St Arvada CO 80004-1375 Ph: (720) 446-8701 | Glory Mcdaniel 5400 Ward Rd Ste 110 Arvada CO 80002-1819 Ph: (720) 446-8701 |
| NPI Number | 1609419571 |
|---|---|
| Provider Enumeration Date | 10/23/2019 |
| Last Update Date | 11/03/2020 |
| Certification Date | 11/03/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609419571 | NPI | - | NPPES |
| 9000171725 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
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