Provider Demographics
NPI:1972141547
Name:SAN FILIPPO, DANIEL (MA, LPC)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:
Last Name:SAN FILIPPO
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 1:6363 W 120TH AVE STE 300
Mailing Address - Street 2:
Mailing Address - City:BROOMFIELD
Mailing Address - State:CO
Mailing Address - Zip Code:80020-2406
Mailing Address - Country:US
Mailing Address - Phone:970-703-5111
Mailing Address - Fax:
Practice Address - Street 1:6363 W 120TH AVE STE 300
Practice Address - Street 2:
Practice Address - City:BROOMFIELD
Practice Address - State:CO
Practice Address - Zip Code:80020-2406
Practice Address - Country:US
Practice Address - Phone:970-703-5111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-13
Last Update Date:2019-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC.0015923101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health