| Doctor Name: | MR. KENNETH CHARLES SAWYER |
| NPI Number: | 1013261577 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | CAC II, BS |
| License Number: | |
| Business Practice Address: | 7373 Birch St Commerce City, CO - 800221446 |
| Business Phone Number: | 3034123945 |
| Business Fax Number: | 3034123381 |
| Mailing Address: | 7373 Birch St, COMMERCE CITY |
| State: | CO |
| Postal Code: | 800221446 |
| Phone Number: | 3034123945 |
| Fax Number: | 3034123381 |
| NPI Enumeration Date: | 11/06/2012 |
| NPI Last Update Date: | 11/06/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |