Individual provider · Type 1 NPI

Baillie Tichy

Addiction (Substance Use Disorder) Counselor · Wheat Ridge, CO

NPI number 1134675614 Active

Practice location

4851 Independence St, Suite 200
Wheat Ridge, CO 80033-6715

Fax (303) 432-5071

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1134675614

Baillie Tichy's National Provider Identifier is 1134675614, issued on Aug 25, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Wheat Ridge, CO. The record was last updated on Aug 25, 2016.