| Radiant Dawn Therapy | |
|
777 S Wadsworth Blvd Ste 202 Lakewood CO 80226-4300 | |
| (720) 830-5212 | |
| Not Available |
| Full Name | Radiant Dawn Therapy |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 777 S Wadsworth Blvd Ste 202, Lakewood, Colorado |
| Authorized Official Name and Position | Christina Devore (MENTAL HEALTH THERAPIST) |
| Authorized Official Contact | 7208305212 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Radiant Dawn Therapy 6921 W Louisiana Ave Apt 3a Lakewood CO 80232-5594 Ph: (720) 830-5212 | Radiant Dawn Therapy 777 S Wadsworth Blvd Ste 202 Lakewood CO 80226-4300 Ph: (720) 830-5212 |
| NPI Number | 1154100162 |
|---|---|
| Provider Enumeration Date | 09/28/2023 |
| Last Update Date | 09/28/2023 |
| Certification Date | 09/28/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154100162 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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