Provider Information for 1225162696
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DAVID G. HAYDEN LPC, CAS
Sex: Male
NPI: 1225162696
Last Updated: 2022-07-11
Certification Date: 2022-07-07
Certification Date: 2022-07-07
Details
| Name | Value | ||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1225162696 | ||||||||||||||||
| Enumeration Date | 2007-03-15 | ||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||
| Sole Proprietor | NO | ||||||||||||||||
| Status | Active | ||||||||||||||||
| Mailing Address | 630 PAGOSA CT GRAND JUNCTION, CO 81506-4867 United States Phone: 719-588-3665 | Fax: | ||||||||||||||||
| Primary Practice Address | 630 PAGOSA CT GRAND JUNCTION, CO 81506-4867 United States Phone: 719-588-3665 | Fax: | ||||||||||||||||
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