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Individual

BRENDA DALEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2790 N ACADEMY BLVD STE 337, COLORADO SPRINGS, CO 80917-5328
(719) 445-6104
(719) 425-3374
Mailing address
2790 N ACADEMY BLVD STE 337, COLORADO SPRINGS, CO 80917-5328
(719) 445-6104
(719) 425-3374

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
2015-000239
NJ
104100000X
Social Worker
44SL06018600
NJ
1041C0700X
Clinical Social Worker
Primary
CSW.09927122
CO

Other

Enumeration date
03/07/2016
Last updated
06/17/2024
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