Individual
CAROLINE BRACKMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
111 VESTA RD, SALIDA, CO 81201-9327
(719) 539-6502
Mailing address
111 VESTA RD, SALIDA, CO 81201-9327
(719) 539-6502
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0022297
CO
Other
Enumeration date
05/30/2025
Last updated
05/30/2025
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