Healthcare Provider Details

I. General information

NPI: 1922743798
Provider Name (Legal Business Name): DAVID JOSEPH FINN III MA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/04/2022
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

954 NORTH ST UNIT 305
BOULDER CO
80304-3420
US

IV. Provider business mailing address

6455 ROBIN DR
LONGMONT CO
80503-8711
US

V. Phone/Fax

Practice location:
  • Phone: 310-920-2623
  • Fax:
Mailing address:
  • Phone: 310-920-2623
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC.23475
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: