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NPI Code Detail

MEDICARE: MR. BRIAN HAL BRETTON MA

MEDICARE: MR. BRIAN HAL BRETTON MA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor0024653CO
2101YA0400XAddiction (Substance Use Disorder) CounselorACD.0002989CO

General Provider Information

NPI Number : 1093643157
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. BRIAN HAL BRETTON MA
Provider Business Mailing Address
First Line : 496 FORELLE ST
Second Line :
City : CLIFTON
State : CO
Zip : 81520-8754
Country : US
Telephone Number : 970-361-5403
Fax Number : 970-361-5403
Provider Business Practice Location Address
First Line : 515 28 3/4 RD BLDG A
Second Line :
City : GRAND JUNCTION
State : CO
Zip : 81501-5016
Country : US
Telephone Number : 970-241-6023
Fax Number : 970-243-8631
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/11/2026
Last Update Date : 06/10/2026

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