Individual
BRANDI GILLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
350 INTERLOCKEN BLVD STE 100, BROOMFIELD, CO 80021-3478
(720) 773-8727
Mailing address
350 INTERLOCKEN BLVD STE 100, BROOMFIELD, CO 80021-3478
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPCC.0016317
CO
101YP2500X
Professional Counselor
LPC.0017673
CO
Other
Enumeration date
05/10/2021
Last updated
03/05/2024
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