Provider Demographics
NPI:1962538124
Name:BRANDT, TERREN JASPER
Entity type:Individual
Prefix:MR
First Name:TERREN
Middle Name:JASPER
Last Name:BRANDT
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 S ONEIDA ST
Mailing Address - Street 2:8-202
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80224-3112
Mailing Address - Country:US
Mailing Address - Phone:720-495-1406
Mailing Address - Fax:
Practice Address - Street 1:1455 BEELER ST
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80010-3027
Practice Address - Country:US
Practice Address - Phone:303-360-6014
Practice Address - Fax:303-360-0794
Is Sole Proprietor?:No
Enumeration Date:2007-02-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)