DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

UNKNOWN PHOENIX, LPC, CACIII

Active Sole Proprietor

UNKNOWN PHOENIX, LPC, CACIII is a Professional Counselor healthcare provider located in FORT COLLINS, Colorado. NPI 1750672937 is currently active in the NPPES registry. Verify at CMS.

Professional Counselor · FORT COLLINS, CO

Registration Details

NPI Number
1750672937
Provider Type
Individual
Gender
Female
NPI Issued
Apr 22, 2011 (15.337481579135 yrs)
Last Updated
Apr 22, 2011
Licenses
5254 (CO)
3067 (CO)
Sole Proprietor
Yes

Practice Information

Address
1220 S COLLEGE AVE
FORT COLLINS, CO, 805243716
Browse CO providers · Browse ZIP 80524
Phone
9704028543
Fax
9704939113
Primary Specialty
Professional Counselor
101YP2500X
Additional Specialty
Professional Counselor

Other Professional Counselor Providers in FORT COLLINS, CO

Name Credential NPI
LISA M WALLACE MA, LPC 1124002571
MR. GARY FARIS LPC 1518937549
MRS. ANNE-MARIE G. SUDDRETH LPCC 1043288012
MR. THOMAS SUTTON VNUK MA LPC 1205896065
JAMES ALFRED SCHULTZ L.P.C. 1710948120
DR. MARY L ATWELL LPC 1255392726
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.