Most Relevant Information
Provider Data
| NPI Number: | 1003276395 |
| Provider Name: | DANIEL BROWN |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | 0013607 |
Most Important Dates
| Enumeration Date: | 02/29/2016 |
| Last Updated: | 02/29/2016 |
Provider Practice Location
352 E WALTON DR
PUEBLO WEST
CO
810075009
Practice Location Phone/Fax
| Phone: | 7199244844 |
| Fax: |
Provider Mailing Location
352 E WALTON DR
PUEBLO WEST
CO
810075009
Provider Mailing Phone/Fax
| Phone: | 7199244844 |
| Fax: |