Individual
TANIA ALEXIS FENDEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LAC
Contact information
Practice address
50 S STEELE ST STE 950, DENVER, CO 80209-2843
(303) 524-0262
Mailing address
501 GARFIELD ST, UNIT 304, DENVER, CO 80206
(303) 524-0262
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACD.0002132
CO
Other
Enumeration date
09/21/2020
Last updated
10/25/2022
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