Organization · NPI-2

A North Star

Counselor, Addiction (Substance Use Disorder) · Fort Collins, CO

NPI number1437580156
StatusActive
Last updated in NPPESDec 5, 2013

Details

NPI
1437580156
Entity type
Organization (NPI-2)
Legal business name
A North Star
Organization subpart
No
Enumeration date
Dec 5, 2013
Last updated
Dec 5, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)7223COYes
101YA0400X Counselor, Addiction (Substance Use Disorder)15CO
101YM0800X Counselor, Mental Health4420CO

Practice location

301 Spaulding Ln Lot 15
Fort Collins, CO 80524-1858

Phone 970-308-4552

Mailing address

301 Spaulding Ln Lot 15
Fort Collins, CO 80524-1858

Phone 970-308-4552

Authorized official

Debra Paulison
Owner
9703084552

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