Provider Demographics
NPI:1184016495
Name:MCDANAL, MAGGIE (LPC)
Entity Type:Individual
Prefix:
First Name:MAGGIE
Middle Name:
Last Name:MCDANAL
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:MARGARET
Other - Middle Name:M
Other - Last Name:WROTH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:PO BOX 810
Mailing Address - Street 2:
Mailing Address - City:CONIFER
Mailing Address - State:CO
Mailing Address - Zip Code:80433-0810
Mailing Address - Country:US
Mailing Address - Phone:720-227-8979
Mailing Address - Fax:303-481-2855
Practice Address - Street 1:8500 W BOWLES AVE STE 315
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80123-3276
Practice Address - Country:US
Practice Address - Phone:720-583-9365
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-02-23
Last Update Date:2022-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC0015967101YP2500X
106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO0015967OtherLPC