Fredrick C. Widman
NPI #1821875600 in Northglenn, Colorado
Provider Information
- NPI Number
- 1821875600
- Entity Type
- Organization
- Organization Name
- Fredrick C. Widman
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Enumeration Date
- Sep 13, 2023
- Last Updated
- Sep 13, 2023
Practice Location
- Address
- 11160 HURON ST STE 32
- City
- Northglenn
- State
- Colorado
- ZIP Code
- 80234-3335
- Phone
- (720) 510-9115
Authorized Official
- Name
- PENNY WIDMAN
- Title
- OFFICE MANAGER
- Phone
- (303) 345-4568
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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