Provider Demographics
NPI:1174760011
Name:HARGRAVE, DARWIN JAMES (MA)
Entity type:Individual
Prefix:MR
First Name:DARWIN
Middle Name:JAMES
Last Name:HARGRAVE
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:912 9TH AVE.
Mailing Address - Street 2:#222
Mailing Address - City:GREELEY
Mailing Address - State:CO
Mailing Address - Zip Code:80631
Mailing Address - Country:US
Mailing Address - Phone:970-356-3887
Mailing Address - Fax:970-356-3893
Practice Address - Street 1:912 9TH AVE.
Practice Address - Street 2:#222
Practice Address - City:GREELEY
Practice Address - State:CO
Practice Address - Zip Code:80631
Practice Address - Country:US
Practice Address - Phone:970-356-3887
Practice Address - Fax:970-356-3893
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-14
Last Update Date:2009-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)