Individual
GERTIE BREFFLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
2503 WALNUT ST STE 201, BOULDER, CO 80302-5745
(303) 872-4077
Mailing address
2503 WALNUT ST STE 201, BOULDER, CO 80302-5745
(720) 627-9959
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
NLC.0106717
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9018
—
CO
Enumeration date
11/27/2018
Last updated
01/26/2021
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