Individual
TERYN BRODISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4856 INNOVATION DR, FORT COLLINS, CO 80525-5539
(970) 494-4200
(844) 270-1824
Mailing address
4856 INNOVATION DR, FORT COLLINS, CO 80525-5539
(970) 494-4200
(844) 270-1824
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACD.0002596
CO
101YP2500X
Professional Counselor
LPCC.0022690
CO
Other
Enumeration date
06/17/2020
Last updated
03/19/2025
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