Individual
MRS. ARLENE MARIE MARTIN-BANDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1000 S LEMAY AVE, FORT COLLINS, CO 80524-3914
(888) 948-6789
(877) 345-3501
Mailing address
4860 ROBB ST STE 201, WHEAT RIDGE, CO 80033-2162
(888) 948-6789
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
992628
CO
1041C0700X
Clinical Social Worker
Primary
CSW.00992628
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CO04115
SUBMITTER ID NUMBER
CO
Enumeration date
07/19/2006
Last updated
07/13/2021
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