Individual provider · NPI-1
Clifford Abeyta, CAS, MSW
Counselor, Addiction (Substance Use Disorder) · Fort Collins, CO
NPI number1669489779
StatusActive
Last updated in NPPESMar 13, 2025
Details
- NPI
- 1669489779
- Entity type
- Individual (NPI-1)
- Name
- Clifford Abeyta
- Credential
- CAS, MSW
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 2, 2006
- Certification date
- Mar 13, 2025
- Last updated
- Mar 13, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | ACC.0997464 | CO | Yes |
Practice location
4856 Innovation DrFort Collins, CO 80525-5539
Phone 970-494-4200 · Fax 844-270-1824
Mailing address
4856 Innovation DrFort Collins, CO 80525-5539
Phone 970-494-4200 · Fax 844-270-1824
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