Individual
MARIAM NICOLE BRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
2182 SKYS END DR APT S3, WINDSOR, CO 80550-5090
(970) 612-8228
Mailing address
PO BOX 334, WINDSOR, CO 80550-0334
(970) 612-8228
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0021817
CO
101YP2500X
Professional Counselor
0021817
CO
Other
Enumeration date
09/02/2025
Last updated
09/02/2025
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