Individual provider · Type 1 NPI

Anastasia Gonzalez

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

NPI number 1124745856 Active

Practice location

4856 Innovation Dr
Fort Collins, CO 80525-5539

Fax (844) 270-1824

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500XLPCC.0022775 (CO)
Driver 172A00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XACD.0002647 (CO)

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About NPI 1124745856

Anastasia Gonzalez's National Provider Identifier is 1124745856, issued on Oct 24, 2022. 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 7, 2025.