Individual
MISS BRANDY BUSTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
4335 W 76TH AVE, WESTMINSTER, CO 80030-4604
(303) 412-3829
(303) 412-3376
Mailing address
8801 LIPAN ST, THORNTON, CO 80260-4912
(303) 412-3829
(303) 412-3376
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
NLC0103321
CO
Other
Enumeration date
01/31/2014
Last updated
01/31/2014
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