Individual provider · Type 1 NPI

Jason Larose

Addiction (Substance Use Disorder) Counselor · Fort Collins, CO

NPI number 1073163150 Active

Practice location

4856 Innovation Dr
Fort Collins, CO 80525-5539

Call (970) 494-4200 Map

Fax (844) 270-1824

Other practice locations

  • 1008 Patton St, Fort Collins, CO 80524-4018 · (970) 494-4200

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XACA.0008361 (CO)
Case Manager/Care Coordinator 171M00000XNone listed
Driver 172A00000XNone listed

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About NPI 1073163150

Jason Larose's National Provider Identifier is 1073163150, issued on Sep 19, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fort Collins, CO. The record was last updated on Mar 3, 2026.