person
Unknown Phoenix, LPC,CACIII
Professional Counselor in Fort Collins, Colorado
NPI 1750672937

Unknown Phoenix is a Professional Counselor based in Fort Collins, CO and is specialized in Professional. Unknown Phoenix practices in Fort Collins, CO and has the professional credentials of LPC,CACIII. The NPI Number for Unknown Phoenix is 1750672937 and holds a License No. 5254 (Colorado).

The current practice location address for Unknown Phoenix is 1220 S College Ave, Fort Collins, CO and can be reached out via phone at 970-402-8543 and via fax at 970-493-9113.

Location: 1220 S College Ave, Fort Collins, CO, 80524-3716
person
Provider Profile Details
NPI Number
1750672937
Provider Name
Unknown Phoenix
Credential
LPC,CACIII
Provider Entity Type
Individual
Gender
Female
Address
1220 S College Ave, Fort Collins, CO, 80524-3716
Phone Number
970-402-8543
Fax Number
970-493-9113
Provider Enumeration Date
04/22/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1220 S College Ave
City
State
Zip
80524-3716
Phone Number
970-402-8543
Fax Number
970-493-9113
person
Provider Business Mailing Address Details
Address
1220 S College Ave
City
State
Zip
80524-3716
Phone Number
970-402-8543
Fax Number
970-493-9113
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
3067 (Colorado)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
5254 (Colorado)
Definition
Definition to come...
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