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FREIA I HOOPER-BRADFORD LPC

Mental Health >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1841348935

Individual Registrant:
 FREIA I HOOPER-BRADFORD LPC
Gender: F
Sole Proprietor

Location and contact information for practice:
395 CRESTVIEW DR  WETMORE, CO 81253-0025 US
Tel: 719-784-3838  Fax: 719-784-3838

Contact information for business:
PO BOX 25  WETMORE, CO 81253-0025 US
Tel: 719-784-3838  Fax: 719-784-3838

Registration Information:
NPI: 1841348935
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YM0800XBehavioral Health & Social Service Providers
Counselor
Mental Health
CO1478

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
076813CO05




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