Organization
INCANDESCENT COUNSELING & MEDIATION, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD ALDEN BRODT LPC (OWNER)
(720) 295-1352
Entity
Organization
Contact information
Practice address
2727 BRYANT ST STE 430, DENVER, CO 80211-4153
(720) 295-1352
Mailing address
1196 N GRANT ST APT 610, DENVER, CO 80203-2387
(516) 457-7407
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/28/2022
Last updated
10/28/2022
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