Individual provider · Type 1 NPI

Phaedra Charles

Mental Health Counselor · Fort Collins, CO

NPI number 1639010564 Active

Practice location

2850 Mcclelland Dr Ste 3600
Fort Collins, CO 80525-2587

Mailing address

2212 Vermont Dr Apt D306
Fort Collins, CO 80525-6649

Other practice locations

  • 2212 Vermont Dr Apt D306, Fort Collins, CO 80525-6649 · (720) 443-3240

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLPC.0024641 (CO)

Mental Health Counselor: Definition to come...

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About NPI 1639010564

Phaedra Charles's National Provider Identifier is 1639010564, issued on Apr 3, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fort Collins, CO. The record was last updated on Sep 15, 2026.