Healthcare Provider Details

I. General information

NPI: 1295678928
Provider Name (Legal Business Name): DAVID JONATHAN MCCLELLAND LPCC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/09/2026
Last Update Date: 04/09/2026
Certification Date: 04/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

420 E 58TH AVE STE 128
DENVER CO
80216-1407
US

IV. Provider business mailing address

11341 UPTOWN AVE
BROOMFIELD CO
80021-4130
US

V. Phone/Fax

Practice location:
  • Phone: 720-773-0384
  • Fax:
Mailing address:
  • Phone: 765-749-1664
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPCC.0022927
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: