Provider Demographics
NPI:1699102350
Name:SHIPMAN, DARAN LIAM (LMFT)
Entity type:Individual
Prefix:
First Name:DARAN
Middle Name:LIAM
Last Name:SHIPMAN
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:DARAN
Other - Middle Name:
Other - Last Name:SHIPMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMFT
Mailing Address - Street 1:PO BOX 12285
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80212-0285
Mailing Address - Country:US
Mailing Address - Phone:315-744-8279
Mailing Address - Fax:
Practice Address - Street 1:3700 TENNYSON ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80212-1963
Practice Address - Country:US
Practice Address - Phone:315-744-8279
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-26
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000902106H00000X
COMFT.0002158106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist