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Organization
TOTAL CHANGES
Active
Organization
TOTAL CHANGES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SONDIA ROBERTS (OWNER)
(720) 412-4085
Entity
Organization
Contact information
Practice address
1152 CLUBHOUSE DR, BROOMFIELD, CO 80020-1240
(720) 412-4085
Mailing address
1152 CLUBHOUSE DR, BROOMFIELD, CO 80020-1240
(720) 412-4085
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/27/2026
Last updated
07/27/2026
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