Provider Demographics
NPI:1821197765
Name:DAY, GLADYS ANN (MED, LPC)
Entity Type:Individual
Prefix:
First Name:GLADYS
Middle Name:ANN
Last Name:DAY
Suffix:
Gender:F
Credentials:MED, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5738 OLDE WADSWORTH BLVD
Mailing Address - Street 2:
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80002-2535
Mailing Address - Country:US
Mailing Address - Phone:303-463-5818
Mailing Address - Fax:303-456-9284
Practice Address - Street 1:5738 OLDE WADSWORTH BLVD
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80002-2535
Practice Address - Country:US
Practice Address - Phone:303-463-5818
Practice Address - Fax:303-456-9284
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2865101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health