Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor |
NPI | 1003211517 |
---|---|
Provider Name | Joshua Mclaughlin |
First Address | Denver, CO 80208-5264 |
Second Address | Denver, CO 80208-5264 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/10/2014 |
Last Update Date | 06/12/2014 |