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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. FREDRICK CARL WIDMAN, CAC II, CADC II, CDP

Active Sole Proprietor

MR. FREDRICK CARL WIDMAN, CAC II, CADC II, CDP is a Addiction (Substance Use Disorder) Counselor healthcare provider located in NORTHGLENN, Colorado. NPI 1568851392 is currently active in the NPPES registry. Verify at CMS.

Addiction (Substance Use Disorder) Counselor · NORTHGLENN, CO

Registration Details

NPI Number
1568851392
Provider Type
Individual
Gender
Male
NPI Issued
Jan 16, 2015 (11.578707206812 yrs)
Last Updated
Jun 5, 2019
Licenses
CP 60144815 (WA)
13-R-26 (OR)
ACB.0008070 (CO)
Sole Proprietor
Yes

Practice Information

Address
11160 HURON ST STE 32
NORTHGLENN, CO, 802343335
Browse CO providers · Browse ZIP 80234
Phone
7205109115
Fax
7205109103

Other Addiction (Substance Use Disorder) Counselor Providers in NORTHGLENN, CO

Name Credential NPI
MS. LINDA G. CAGLE B.S. CACIII MASTER'S 1073767448
JACOB ANDREW HERNANDEZ CAC II 1912223355
APRIL ZINK 1730428145
MR. JOSE ALEJANDRO CASTRO LPC, LAC 1740608959
LORIE PALMER 1376912139
MICHELLE COUNTS 1780198325
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.