Healthcare Provider Details

I. General information

NPI: 1477210524
Provider Name (Legal Business Name): DAVID HABEL
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/23/2021
Last Update Date: 09/05/2026
Certification Date: 09/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4331 MOOSE ST
JOHNSTOWN CO
80534-8703
US

IV. Provider business mailing address

4331 MOOSE ST
JOHNSTOWN CO
80534-8703
US

V. Phone/Fax

Practice location:
  • Phone: 720-340-1673
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: