KATIE BRYDON


Address: 7030 E 166th Pl, Brighton, CO 80602-4714
Phone: 7208781461

KATIE BRYDON (NPI# 1619308194) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1619308194
Entity Type Individual
Full Name KATIE BRYDON
Credential LCSW, LAC,MAC
Practice Address 7030 E 166th Pl
Brighton
CO 80602-4714
Mailing Address 11857 Keough Dr
Northglenn
CO 80233-1221
Practice Telephone 7208781461
Mailing Telephone 7208781461
Mailing Fax Number 3034686184
Enumeration Date 2013-12-09
Last Update Date 2016-01-20
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
ACD0000390 CO Behavioral Health & Social Service Providers
N 1041C0700X Social Worker
Specialization: Clinical
CSW.09924033 CO Behavioral Health & Social Service Providers

Office Location

Street Address 7030 E 166TH PL
City BRIGHTON
State CO
Zip Code 80602-4714

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1851788384 Cheryl Ann Kirkland Technician 7523 E 130th Cir., Thornton, CO 80602 2015-04-22
1467722405 Christie Lynn Kraeger Social Worker 2717 E 139th Place, Thornton, CO 80602 2012-01-09
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1649879834 Charles Skoler Counselor 15 Colborne Rd Apt 8, Brighton, MA 02135-4843 2020-10-20
1376160168 Scott Thomas Montgomery Counselor 1242 Baywood Cir, Brighton, MI 48116-6761 2020-06-29
1104470673 Domenique Delucia Counselor 77f Warren Street, Brighton, MA 02135 2019-08-01
1407365638 Pattric Davis Counselor 77f Warren St, Brighton, MA 02135-3601 2017-09-20
1780126383 Yolanda Louise Cavicchio Counselor 19 Burton St Apt 2, Brighton, MA 02135-1503 2016-11-14
1528426749 Gail Lee Sanchez Counselor 5586 S 154th Rd, Brighton, MO 65617 2016-02-02
1063835031 Anne King-hudson Counselor 2060 Grand River Annex Ste 600, Brighton, MI 48114-5312 2014-01-28
1457782120 Erin Theriault Counselor 9 Winship St, Brighton, MA 02135-3359 2013-12-06
1003164245 Nicholas James Mitchell Counselor 10299 Grand River Rd Ste P, Brighton, MI 48116-9558 2012-08-20
1881961571 Sarah Elizabeth Lyons Counselor 77 Warren St Bldg 5, Brighton, MA 02135-3601 2011-11-23
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Competitor

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City BRIGHTON
Zip Code 80602

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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