Organization
BUILDING WARRIORS INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW W CARLSON MA, LPC, LAC (CEO)
(269) 720-0071
Entity
Organization
Contact information
Practice address
280 ZEREX STREET, FRASER, CO 80442
(970) 726-7123
(970) 726-7660
Mailing address
PO BOX 27586, DENVER, CO 80227-0586
(720) 504-6207
(269) 213-8885
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
621
CO
101YP2500X
Professional Counselor
11818
CO
101YP2500X
Professional Counselor
Primary
12306
CO
Other
Enumeration date
07/14/2016
Last updated
08/23/2018
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