Provider Demographics
NPI:1770270712
Name:COURCHAINE, DARA (HEALTH COACH)
Entity type:Individual
Prefix:
First Name:DARA
Middle Name:
Last Name:COURCHAINE
Suffix:
Gender:F
Credentials:HEALTH COACH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7200 E DRY CREEK RD STE G101
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80112-2574
Mailing Address - Country:US
Mailing Address - Phone:720-647-7460
Mailing Address - Fax:720-684-5766
Practice Address - Street 1:7200 E DRY CREEK RD STE G101
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112-2574
Practice Address - Country:US
Practice Address - Phone:720-647-7460
Practice Address - Fax:720-684-5766
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-19
Last Update Date:2023-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach