Individual
RANDY ALLEN BRALEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
6561 ZINNIA ST, ARVADA, CO 80004-2250
(303) 940-4806
Mailing address
6561 ZINNIA ST, ARVADA, CO 80004-2250
(303) 940-4806
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
437
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
437
COLORADO LICENSE NUMBER
CO
Enumeration date
05/22/2007
Last updated
07/08/2007
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