Healthcare Provider Details

I. General information

NPI: 1417879206
Provider Name (Legal Business Name): DAVID M PATTON
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2335 HUDSON ST
DENVER CO
80207
US

IV. Provider business mailing address

2335 HUDSON ST
DENVER CO
80207-3259
US

V. Phone/Fax

Practice location:
  • Phone: 303-565-7569
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPCC.0016446
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: