MEDICARE: DAVID JONATHAN MCCLELLAND LPCC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	LPCC.0022927	CO

General Provider Information

NPI Number	:	1295678928
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID JONATHAN MCCLELLAND LPCC

Provider Business Mailing Address
First Line	:	11341 UPTOWN AVE
Second Line	:
City	:	BROOMFIELD
State	:	CO
Zip	:	80021-4130
Country	:	US
Telephone Number	:	765-749-1664
Fax Number	:

Provider Business Practice Location Address
First Line	:	420 E 58TH AVE STE 128
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80216-1407
Country	:	US
Telephone Number	:	720-773-0384
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/09/2026
Last Update Date	:	04/09/2026

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