MR. FREDRICK CARL WIDMAN CAC II CADC II CDP NPI 1568851392

NPI Information

NPI: 1568851392
Provider Name: MR. FREDRICK CARL WIDMAN, CAC II, CADC II, CDP
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
11160 HURON ST STE 32
NORTHGLENN, CO
ZIP 80234
Phone: (720) 510-9115
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MR. Fredrick Carl Widman, CAC II, CADC II, CDP is an addiction (substance use disorder) counselor in Northglenn, CO. MR. Fredrick Carl Widman, CAC II, CADC II, CDP NPI is 1568851392. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

11160 HURON ST STE 32
NORTHGLENN, CO
ZIP 80234-335
Phone: (720) 510-9115
Fax: (720) 510-9103

The enumeration date for this NPI number is 1/16/2015 and was last updated on 6/5/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	CP 60144815	WASHINGTON	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	13-R-26	OREGON	No
3	101YA0400X	Counselor	Addiction (Substance Use Disorder)	ACB.0008070	COLORADO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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