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WALTER BRANDSTOETTNER BA

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

Registrant NPI Number: 1083809701

Individual Registrant:
 WALTER  BRANDSTOETTNER BA
Gender: M
Not Sole Proprietor

Location and contact information for practice:
515 28 RD  GRAND JUNCITON, CO 81501 US
Tel: 970-241-6023  Fax: 970-242-8330

Contact information for business:
PO BOX 40  GLENWOOD SPRINGS, CO 81602-0040 US
Tel: 970-945-2241  Fax: 970-945-5523

Registration Information:
NPI: 1083809701
Entity Type: Individual

Specialty information:

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

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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