Individual
SUSAN E BRADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA, REGISTERED PSYCH
Contact information
Practice address
4740 FLINTRIDGE DR STE 220L, COLORADO SPRINGS, CO 80918-4273
(719) 433-4607
Mailing address
1038 FONTMORE RD APT D, COLORADO SPRINGS, CO 80904-1616
(719) 433-4607
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
NLC0109492
CO
Other
Enumeration date
07/22/2019
Last updated
07/22/2019
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