Provider Demographics
NPI:1861936064
Name:BRETZ, PAUL ALLEN (DMIN, LCSW, MHSA)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:ALLEN
Last Name:BRETZ
Suffix:
Gender:M
Credentials:DMIN, LCSW, MHSA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7887 EAST BELLEVIEW AVENUE
Mailing Address - Street 2:SUITE 1100
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80111-6097
Mailing Address - Country:US
Mailing Address - Phone:303-639-5240
Mailing Address - Fax:
Practice Address - Street 1:7887 EAST BELLEVIEW AVENUE
Practice Address - Street 2:SUITE 1100
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80111-6097
Practice Address - Country:US
Practice Address - Phone:303-639-5240
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-12-07
Last Update Date:2022-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCSW.009919171041C0700X
CO009919171041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical