Individual
BRENDON MICHAEL KERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A., LPC, LAC
Contact information
Practice address
811 MAIN CT, CARBONDALE, CO 81623-1851
(970) 704-9292
Mailing address
1025 WHEEL CIR, CARBONDALE, CO 81623-1573
(603) 498-1166
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC.0013230
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LPC.0013230
COLORADO LICENSE
CO
Enumeration date
11/22/2019
Last updated
11/22/2019
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