John C Wilde, MA, LAC
John C Wilde, MA, LAC is an Addiction (Substance Use Disorder) Counselor in Fort Collins, Colorado. Licensed in Colorado. Registered with an NPI since 2014.
- Licensed in
- CO
- In the registry since
- 2014
What do these letters mean?
Practice location Address checks out
125 Crestridge StFort Collins, CO 80525-3934
Phone: (970) 494-9761
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence ACD.0000026 (CO) |
|---|
Record details
| NPI number | 1245631712 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MA , LAC |
| Sole proprietor | No |
| NPI enumerated | September 15, 2014 |
| Last updated in NPPES | September 15, 2014 |
| Mailing address | 125 Crestridge St, Fort Collins, CO 80525-3934 |
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