Individual
BRENDA MARQUARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LAC
Contact information
Practice address
1204 W ASH ST UNIT A, WINDSOR, CO 80550-4660
(970) 310-3406
Mailing address
1204 W ASH ST UNIT A, WINDSOR, CO 80550-4660
(970) 310-3406
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ACD.0001615
CO
1041C0700X
Clinical Social Worker
Primary
CSW.09926195
CO
Other
Enumeration date
12/11/2021
Last updated
08/08/2024
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