| Bridge Street Counseling | |
|
203 Telluride St Unit 600 Brighton CO 80601-4366 | |
| (720) 263-2256 | |
| (303) 659-8803 |
| Full Name | Bridge Street Counseling |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 203 Telluride St Unit 600, Brighton, Colorado |
| Authorized Official Name and Position | Charles Deshazer (OWNER) |
| Authorized Official Contact | 7202632256 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridge Street Counseling 203 Telluride St Unit 600 Brighton CO 80601-4366 Ph: (720) 263-2256 | Bridge Street Counseling 203 Telluride St Unit 600 Brighton CO 80601-4366 Ph: (720) 263-2256 |
| NPI Number | 1194376988 |
|---|---|
| Provider Enumeration Date | 09/24/2019 |
| Last Update Date | 09/24/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194376988 | NPI | - | NPPES |
| MFT1617 | Other | CO | LICENSED MARRIAGE AND FAMILY THERAPIST |
| ACD234 | Other | CO | LICENSED ADDICTION COUNSELOR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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