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General NPI Number Information
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NPI Number | 1881463453
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Entity Type | Individual
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Provider Name | SEAN BRUNDRETT LCSW, LAC
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Gender | Male
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Dates
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Enumeration Date | 12/25/2023
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Last Update Date | 12/24/2025
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Provider Practice Location Address
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Address Line | 7857 W MANSFIELD PKWY APT 9-301
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City | LAKEWOOD
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State | CO
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Zip | 80235-1995
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Country | US
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Telephone | 310-488-6969
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Fax |
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Provider Business Mailing Address
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Address Line | 7857 W MANSFIELD PKWY APT 9-301
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City | LAKEWOOD
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State | CO
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Zip | 80235-1995
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Country | US
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Telephone | 310-488-6969
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | ACD.0002445
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SWB-2025-1385
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License Number State | NM
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 5071880
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License Number State | ID
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LC24674
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License Number State | ME
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Taxonomy #5
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | TPSW6000
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License Number State | FL
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Taxonomy #6
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CSW.09930834
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License Number State | CO
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Taxonomy #7
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 14245304-3501
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License Number State | UT
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