Healthcare Provider Details

I. General information

NPI: 1326374364
Provider Name (Legal Business Name): ANDREW GABOR M.A.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/27/2009
Last Update Date: 10/27/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1405 FEDERAL BLVD
DENVER CO
80204-2211
US

IV. Provider business mailing address

1405 FEDERAL BLVD
DENVER CO
80204-2211
US

V. Phone/Fax

Practice location:
  • Phone: 303-504-1500
  • Fax: 303-825-1711
Mailing address:
  • Phone: 303-504-1500
  • Fax: 303-825-1711

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number10817
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: