Individual
MS. DOROTHY A BROKENLEG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDC
Contact information
Practice address
10350 E DAKOTA AVE, STE B, DENVER, CO 80247-1314
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, STE B, DENVER, CO 80247-1314
(303) 338-4545
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
516
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006894
KAISER-COMMERCIAL NUMBER
—
Enumeration date
03/22/2007
Last updated
05/21/2014
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