Provider Demographics
NPI:1326792573
Name:REIN, BRETT
Entity Type:Individual
Prefix:
First Name:BRETT
Middle Name:
Last Name:REIN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6800 RALSTON RD STE L-103
Mailing Address - Street 2:
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80002-2638
Mailing Address - Country:US
Mailing Address - Phone:720-239-2291
Mailing Address - Fax:
Practice Address - Street 1:6800 RALSTON RD STE L-103
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80002-2638
Practice Address - Country:US
Practice Address - Phone:720-239-2291
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-07
Last Update Date:2023-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPCC.0018484101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty