Most Relevant Information
Provider Data
| NPI Number: | 1003216060 |
| Provider Name: | HAEWON GRACE BAEK LMFT |
| Entity Type: | Individual |
| Taxonomy Code: | 106H00000X |
| Specialty: | Marriage & Family Therapist |
| License Number: | 98855 |
Most Important Dates
| Enumeration Date: | 08/27/2014 |
| Last Updated: | 12/04/2019 |
Provider Practice Location
10465 MELODY DR STE 311
NORTHGLENN
CO
802344112
Practice Location Phone/Fax
| Phone: | 9704001964 |
| Fax: |
Provider Mailing Location
15632 W 79TH PL
ARVADA
CO
800077810
Provider Mailing Phone/Fax
| Phone: | 9704001964 |
| Fax: |