Individual
BRENDA MARIE BOMGARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NCC, LPC
Contact information
Practice address
950 WADSWORTH BLVD, LAKEWOOD, CO 80214-4591
(720) 260-7702
Mailing address
10050 W CENTER AVE, LAKEWOOD, CO 80226-2725
(720) 260-7702
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
11349
CO
Other
Enumeration date
08/20/2013
Last updated
08/20/2013
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