Organization · Type 2 NPI

Fredrick C. Widman

Addiction (Substance Use Disorder) Counselor · Northglenn, CO

NPI number 1821875600 Active

Practice location

11160 Huron St Ste 32
Northglenn, CO 80234-3335

Mailing address

2930 Madison Ln
Broomfield, CO 80023-4522

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 1821875600

Fredrick C. Widman's National Provider Identifier is 1821875600, issued on Sep 13, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Northglenn, CO. The record was last updated on Sep 13, 2023.