Provider Demographics
NPI:1578879086
Name:KARL, DAVID ALAN (MA, LPC)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:ALAN
Last Name:KARL
Suffix:
Gender:M
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6930 E GIRARD AVE APT 105
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80224-2900
Mailing Address - Country:US
Mailing Address - Phone:720-771-9601
Mailing Address - Fax:866-276-0965
Practice Address - Street 1:6930 E GIRARD AVE APT 105
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80224-2900
Practice Address - Country:US
Practice Address - Phone:270-771-9601
Practice Address - Fax:866-276-0965
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-20
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X
COLPC6410101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor