Individual
BROOKE R TANGEN HUUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
1776 S JACKSON ST STE 705, DENVER, CO 80210-3822
(303) 385-5637
Mailing address
1776 S JACKSON ST STE 705, DENVER, CO 80210-3822
(303) 385-5637
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0000386
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000165149
—
CO
Enumeration date
10/09/2017
Last updated
10/06/2020
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