Provider Demographics
NPI:1699969311
Name:BRAZIER, ANDREW J (LPC)
Entity type:Individual
Prefix:
First Name:ANDREW
Middle Name:J
Last Name:BRAZIER
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 SMITH CIR
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:CO
Mailing Address - Zip Code:80516-8472
Mailing Address - Country:US
Mailing Address - Phone:720-514-0109
Mailing Address - Fax:303-732-8140
Practice Address - Street 1:2010 W 120TH AVE
Practice Address - Street 2:SUITE 201
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80234-2444
Practice Address - Country:US
Practice Address - Phone:720-514-0109
Practice Address - Fax:303-732-8140
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-06
Last Update Date:2013-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO00011182101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional