Individual provider · Type 1 NPI

Unknown Phoenix, LPC, CACIII

Professional Counselor · Fort Collins, CO

NPI number 1750672937 Active

Practice location

1220 S College Ave
Fort Collins, CO 80524-3716

Call (970) 402-8543 Map

Fax (970) 493-9113

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X5254 (CO)
Professional Counselor Primary 101YP2500X3067 (CO)

Professional Counselor: Definition to come...

Another provider at this address

Other professional counselor providers in Fort Collins

See all in Fort Collins →

About NPI 1750672937

Unknown Phoenix, LPC, CACIII's National Provider Identifier is 1750672937, issued on Apr 22, 2011. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Fort Collins, CO. The record was last updated on Apr 22, 2011.