Gorrill, Daniel Todd

Gorrill, Daniel Todd is an sole proprietor health care provider with primary practice located at 6541 Specker Ave Bldg 1830 , Fort Carson CO 80913-4263. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Gorrill, Daniel Todd can be contacted via phone (719) 503-7070.

Contact Information

Primary practice address
6541 Specker Ave Bldg 1830 Fort Carson CO 80913-4263
Phone: (719) 503-7070
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 1263 Colorado
Behavioral Health & Social Service Providers / Professional 101YP2500X 4697 Colorado

Profile Details

NPI number 1942482328
LBN Legal business name Gorrill, Daniel Todd
Credentials LMFT, LPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 28th, 2007
Last updated Feb 3rd, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942482328 NPPES
Colorado MEDICAID 3605031

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