Provider Demographics
NPI:1053618595
Name:MACLEAN, DAVID ANDREW (LPC/CACIII)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:ANDREW
Last Name:MACLEAN
Suffix:
Gender:M
Credentials:LPC/CACIII
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:393 S HARLAN ST
Mailing Address - Street 2:SUITE 250
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80226-3572
Mailing Address - Country:US
Mailing Address - Phone:303-935-7004
Mailing Address - Fax:303-935-3035
Practice Address - Street 1:393 S HARLAN ST
Practice Address - Street 2:SUITE 250
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80226-3572
Practice Address - Country:US
Practice Address - Phone:303-935-7004
Practice Address - Fax:303-935-3035
Is Sole Proprietor?:No
Enumeration Date:2011-02-18
Last Update Date:2011-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO6533101YA0400X
CO4335101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional