Individual
MR. MARK ALAN BROSAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA. LPC
Contact information
Practice address
317 URANUS ST, FORT COLLINS, CO 80525-4050
(970) 215-6806
(970) 282-3734
Mailing address
317 URANUS ST, FORT COLLINS, CO 80525-4050
(970) 215-6806
(970) 282-3734
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1317
CO
Other
Enumeration date
09/18/2010
Last updated
09/18/2010
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