Provider Demographics
NPI:1225162696
Name:HAYDEN, DAVID G (LPC, CAS)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:G
Last Name:HAYDEN
Suffix:
Gender:M
Credentials:LPC, CAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:630 PAGOSA CT
Mailing Address - Street 2:
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81506-4867
Mailing Address - Country:US
Mailing Address - Phone:719-588-3665
Mailing Address - Fax:
Practice Address - Street 1:630 PAGOSA CT
Practice Address - Street 2:
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81506-4867
Practice Address - Country:US
Practice Address - Phone:719-588-3665
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-15
Last Update Date:2022-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO6118101YA0400X
CO2854101YP2500X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health