Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Unknown Phoenix, LPC, CACIII

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1750672937

Unknown Phoenix, LPC, CACIII is an Addiction (Substance Use Disorder) Counselor in Fort Collins, Colorado. Practices as a sole proprietor. Licensed in Colorado.

Licensed in
CO
In the registry since
2011
Specialties on file
2
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

1220 S College Ave
Fort Collins, CO 80524-3716
Phone: (970) 402-8543
Fax: (970) 493-9113
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 3067 (CO)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 5254 (CO)

Record details

NPI number1750672937
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC , CACIII
Sole proprietorYes
NPI enumeratedApril 22, 2011
Last updated in NPPESApril 22, 2011

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