Individual
MR. KENNETH JAMES BERNARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2500 ROCKY MOUNTAIN AVE, LOVELAND, CO 80538-9004
(970) 624-2500
(970) 624-1696
Mailing address
1007 FOSSIL CREEK PKWY, FORT COLLINS, CO 80525-7113
(307) 778-7550
(307) 778-7393
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LCSW 158
WY
1041C0700X
Clinical Social Worker
Primary
CSW.00991066
CO
Other
Enumeration date
04/26/2006
Last updated
12/09/2019
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