Individual
BRADLEY DARIN THORSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LPCC
Contact information
Practice address
1325 YORK AVE, CANON CITY, CO 81212-8615
(719) 331-1903
Mailing address
1325 YORK AVE, CANON CITY, CO 81212-8615
(719) 331-1903
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
NLC0106535
CO
101YM0800X
Mental Health Counselor
Primary
NLC0106535
CO
101YP2500X
Professional Counselor
NLC0106535
CO
106H00000X
Marriage & Family Therapist
NLC0106535
CO
225A00000X
Music Therapist
NLC0106535
CO
Other
Enumeration date
05/15/2017
Last updated
03/29/2022
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