Individual
MS. MARLA M MADRID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW, LAC, LMFT
Contact information
Practice address
190 S 1ST ST, BENNETT, CO 80102-7860
(303) 644-4240
(303) 644-4250
Mailing address
190 S 1ST ST, BENNETT, CO 80102-7860
(303) 644-4240
(303) 644-4250
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ACD0000719
CO
1041C0700X
Clinical Social Worker
CSW00001915
CO
106H00000X
Marriage & Family Therapist
Primary
MFT0001999
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
51308266
—
CO
Enumeration date
03/15/2013
Last updated
01/22/2023
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