Individual provider · Type 1 NPI
John William Szudera, LMFT, LCPC
Professional Counselor · Broomfield, CO
NPI number
1457632218
Active
Practice location
80 Garden Ctr Ste 252
Broomfield, CO 80020-1735
Fax (208) 502-2538
Mailing address
773 Dexter Dr
Broomfield, CO 80020-1509
Other practice locations
- 750 W Ustick Rd Ste 120, Meridian, ID 83646-6133 · (208) 273-9521
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | LCPC-5584 (ID) |
| Marriage & Family Therapist | 106H00000X | MFT.0002364 (CO) |
| Professional Counselor | 101YP2500X | LPC.0019370 (CO) |
| Marriage & Family Therapist | 106H00000X | BBH-LMFT-LIC-48138 (MT) |
| Marriage & Family Therapist | 106H00000X | LMFT-5534 (ID) |
Professional Counselor: Definition to come...
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About NPI 1457632218
John William Szudera, LMFT, LCPC's National Provider Identifier is 1457632218, issued on Sep 6, 2011. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Broomfield, CO. The record was last updated on Sep 26, 2024.