Individual
BROOK MARIAH BRETTHAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
2001 S SHIELDS ST, BUILDING D, SUITE 203, FORT COLLINS, CO 80526-1827
(970) 495-4611
Mailing address
221 MATHEWS ST, APT. #4, FORT COLLINS, CO 80524-2838
(970) 495-4611
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
05/24/2007
Last updated
07/08/2007
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