Brogdon, Derek
Brogdon, Derek is an sole proprietor health care provider with primary practice located at 730 W Hampden Ave Ste 301 , Englewood CO 80110-2110. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Brogdon, Derek can be contacted via phone (210) 907-6248.Contact Information
Primary practice address
730 W Hampden Ave Ste 301
Englewood CO 80110-2110
Phone: (210) 907-6248
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 70484 | Texas |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LPC.0014105 | Colorado |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | LPC.0014105 | Colorado |
Profile Details
| NPI number | 1285010587 |
|---|---|
| LBN Legal business name | Brogdon, Derek |
| Credentials | LPC, LCDC-INTERN |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 10th, 2015 |
| Last updated | Mar 17th, 2018 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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