Organization
CANOPY BEHAVIORAL HEALTH, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN WILLIAM SZUDERA MS, LMFT, LCPC (OWNER/CLINICAL DIRECTOR)
(208) 273-9521
Entity
Organization
Contact information
Practice address
750 W USTICK RD STE 120, MERIDIAN, ID 83646-6133
(208) 273-9521
(208) 502-2538
Mailing address
773 DEXTER DR, BROOMFIELD, CO 80020-1509
(208) 273-9521
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
104100000X
Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
12/05/2018
Last updated
09/26/2024
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