Individual
CONSTANCE BRYDGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
417 S INDIANA AVE, TRINIDAD, CO 81082-3126
(719) 846-4416
(719) 846-6408
Mailing address
41 MONTEBELLO RD STE 202, PUEBLO, CO 81001-1366
(719) 545-2746
(719) 542-9638
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC.0012884
CO
Other
Enumeration date
09/09/2011
Last updated
12/04/2018
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