Individual provider · Type 1 NPI

Teryn Brodish

Addiction (Substance Use Disorder) Counselor · Fort Collins, CO

NPI number 1174149082 Active

Practice location

1217 Riverside Ave
Fort Collins, CO 80524-3218

Mailing address

4856 Innovation Dr
Fort Collins, CO 80525-5539

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500XLPC.0023926 (CO)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XACD.0002596 (CO)

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

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About NPI 1174149082

Teryn Brodish's National Provider Identifier is 1174149082, issued on Jun 17, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fort Collins, CO. The record was last updated on Sep 2, 2026.