Individual
AMANDA JEAN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
80 GARDEN CTR, BROOMFIELD, CO 80020-7087
(303) 335-0202
Mailing address
80 GARDEN CTR, BROOMFIELD, CO 80020-7087
(303) 335-0202
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ACD.0002474
CO
101YP2500X
Professional Counselor
Primary
LPCC.0020539
CO
Other
Enumeration date
05/31/2022
Last updated
01/07/2025
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