Healthcare Provider Details

I. General information

NPI: 1881715886
Provider Name (Legal Business Name): DANIEL OBARSKI LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/03/2007
Last Update Date: 10/18/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9485 W COLFAX AVE
LAKEWOOD CO
80215-3918
US

IV. Provider business mailing address

2035 S CLARKSON ST
DENVER CO
80210-4105
US

V. Phone/Fax

Practice location:
  • Phone: 303-432-5517
  • Fax:
Mailing address:
  • Phone: 303-885-5087
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number11858
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: