Individual
KATIE BRYDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LAC,MAC
Contact information
Practice address
10050 RALSTON RD # 1 B/E, ARVADA, CO 80004-8000
(720) 401-2340
Mailing address
11857 KEOUGH DR, NORTHGLENN, CO 80233-1221
(720) 401-2340
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ACD0000390
CO
1041C0700X
Clinical Social Worker
Primary
CSW.09924033
CO
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
12/09/2013
Last updated
01/30/2023
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