Basic Information
| Provider Information | |||||||||
| NPI: | 1215581608 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | JONES | ||||||||
| FirstName: | DANIEL | ||||||||
| MiddleName: | WAYNE | ||||||||
| NamePrefix: | MR. | ||||||||
| NameSuffix: | II | ||||||||
| Credential: | MSW INTERN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4561 KIPLING ST APT 19 | ||||||||
| Address2: | |||||||||
| City: | WHEAT RIDGE | ||||||||
| State: | CO | ||||||||
| PostalCode: | 800332869 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3177770271 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 1390 CHAMBERS RD | ||||||||
| Address2: | |||||||||
| City: | AURORA | ||||||||
| State: | CO | ||||||||
| PostalCode: | 800117195 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3036172424 | ||||||||
| FaxNumber: | 3033641077 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/24/2019 | ||||||||
| LastUpdateDate: | 07/24/2019 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101Y00000X | 00000000 | CO | Y | Behavioral Health & Social Service Providers | Counselor |
No ID Information.