Individual provider · Type 1 NPI

Jason Staires, LPC, CAS, MA

Professional Counselor · Fort Collins, CO

NPI number 1124135819 Active

Practice location

4856 Innovation Dr
Fort Collins, CO 80525-5539

Call (970) 494-4200 Map

Fax (844) 270-1824

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XACC.0997244 (CO)
Professional Counselor Primary 101YP2500XLPC.0011244 (CO)

Professional Counselor: Definition to come...

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About NPI 1124135819

Jason Staires, LPC, CAS, MA's National Provider Identifier is 1124135819, issued on Aug 25, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Fort Collins, CO. The record was last updated on Mar 27, 2025.