Individual provider · Type 1 NPI

Tiffany Marie Broadhurst

Mental Health Counselor · Fort Collins, CO

NPI number 1831954775 Active

Practice location

2120 Milestone Dr Ste 103
Fort Collins, CO 80525-5761

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XLPC-2486 (WY)
Mental Health Counselor 101YM0800XLPC-MH31012 (SD)
Mental Health Counselor Primary 101YM0800XLPC.0020790 (CO)

Mental Health Counselor: Definition to come...

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About NPI 1831954775

Tiffany Marie Broadhurst's National Provider Identifier is 1831954775, issued on Feb 20, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fort Collins, CO. The record was last updated on Jan 26, 2026.