Healthcare Provider Details

I. General information

NPI: 1093643157
Provider Name (Legal Business Name): BRIAN HAL BRETTON MA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

336 MAIN ST STE 206
GRAND JUNCTION CO
81501-2460
US

IV. Provider business mailing address

496 FORELLE ST
CLIFTON CO
81520-8754
US

V. Phone/Fax

Practice location:
  • Phone: 970-361-5403
  • Fax: 970-361-5403
Mailing address:
  • Phone: 970-361-5403
  • Fax: 970-361-5403

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number0024653
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: