Individual provider · Type 1 NPI

Tisza Rutherford, CAC III

Addiction (Substance Use Disorder) Counselor · Loveland, CO

NPI number 1275958456 Active

Practice location

1250 N Wilson Ave
Loveland, CO 80537-4461

Mailing address

125 Crestridge St
Fort Collins, CO 80525-3934

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XACC.0006814 (CO)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1275958456

Tisza Rutherford, CAC III's National Provider Identifier is 1275958456, issued on Feb 25, 2014. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Loveland, CO. The record was last updated on Feb 25, 2014.