Individual
ETHAN LINNELL BRATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LMFT, CST
Contact information
Practice address
1711 61ST AVE STE 206, GREELEY, CO 80634-3049
(970) 599-1820
Mailing address
1224 102ND AVE, GREELEY, CO 80634-9058
(970) 599-1820
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
0001102
CO
Other
Enumeration date
11/02/2009
Last updated
12/28/2021
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