Individual
MS. SUSAN D HENDRICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4824 S LEMAY AVE, FORT COLLINS, CO 80525-9402
(970) 482-1574
Mailing address
4860 ROBB ST, SUITE 201, WHEAT RIDGE, CO 80033-2184
(303) 278-7418
(888) 341-5050
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
954
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1199591
CAQH
CO
05
—
40258726
—
CO
01
—
CSW.00000954
PROFESSIONAL LICENSE
CO
Enumeration date
01/08/2008
Last updated
10/17/2013
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