| Derek Brogdon Pllc | |
|
730 W Hampden Ave Ste 301 Englewood CO 80110-2110 | |
| (210) 907-6248 | |
| Not Available |
| Full Name | Derek Brogdon Pllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 730 W Hampden Ave Ste 301, Englewood, Colorado |
| Authorized Official Name and Position | Derek Brogdon (OWNER/CLINICIAN) |
| Authorized Official Contact | 2109076248 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Derek Brogdon Pllc 730 W Hampden Ave Ste 301 Englewood CO 80110-2110 Ph: (210) 907-6248 | Derek Brogdon Pllc 730 W Hampden Ave Ste 301 Englewood CO 80110-2110 Ph: (210) 907-6248 |
| NPI Number | 1083114565 |
|---|---|
| Provider Enumeration Date | 02/20/2018 |
| Last Update Date | 02/20/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083114565 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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