Individual
MR. BENJAMIN ROBERT KREMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.A.C.
Contact information
Practice address
4455 E 12TH AVE, DENVER, CO 80220-2415
(303) 504-6500
Mailing address
4455 E 12TH AVE, DENVER, CO 80220-2415
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
627
CO
1041C0700X
Clinical Social Worker
9920513
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1083056428
—
CO
Enumeration date
07/26/2013
Last updated
12/28/2015
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