Individual
BRYAN HUTCHINSON CONKLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
467 CARSON LAKE DR, CLIFTON, CO 81520-8885
(801) 830-8601
Mailing address
467 CARSON LAKE DR, CLIFTON, CO 81520-8885
(801) 830-8601
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CSW.09926113
CO
Other
Enumeration date
03/27/2021
Last updated
03/27/2021
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