Willson, Bryce Craig
Willson, Bryce Craig is an sole proprietor health care provider with primary practice located at 3575 S Washington St , Englewood CO 80113-3807. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Willson, Bryce Craig can be contacted via phone (303) 789-2265.Contact Information
Primary practice address
3575 S Washington St
Englewood CO 80113-3807
Phone: (303) 789-2265
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 5782 | Colorado |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 2955 | Colorado |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 3874 | Colorado |
Profile Details
| NPI number | 1518954643 |
|---|---|
| LBN Legal business name | Willson, Bryce Craig |
| Credentials | MA, CACIII, LPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 4th, 2005 |
| Last updated | Apr 18th, 2016 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518954643 | NPPES |
| Colorado | Other | 3874 | PROFESSIONAL LICENSE |
| Colorado | Other | 11638726 | PROFESSIONAL LICENSE |
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