# FREDRICK C. WIDMAN

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Reliant Services LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821875600
- **Authorized official:** PENNY WIDMAN (OFFICE MANAGER)
- **Authorized official phone:** (303) 345-4568

## Contact information

- **Practice address:** 11160 HURON ST STE 32, NORTHGLENN, CO 80234-3335
- **Practice address phone:** (720) 510-9115
- **Mailing address:** 2930 MADISON LN, BROOMFIELD, CO 80023-4522
- **Mailing address phone:** (303) 345-4568

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | Yes |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | Yes |

## Other

- **Enumeration date:** 09/13/2023
- **Last updated:** 09/13/2023