Individual provider · NPI-1
Alea Michelle Acosta, LPCC
Counselor · Fort Collins, CO
NPI number1699509133
StatusActive
Last updated in NPPESNov 19, 2024
Details
- NPI
- 1699509133
- Entity type
- Individual (NPI-1)
- Name
- Alea Michelle Acosta
- Credential
- LPCC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 28, 2024
- Certification date
- Nov 19, 2024
- Last updated
- Nov 19, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | LPCC.0022529 | CO | Yes |
| 101YM0800X | Counselor, Mental Health | LPCC.0022529 | CO |
Practice location
420 S Howes St Ste 105aFort Collins, CO 80521-2871
Phone 720-778-0521
Mailing address
420 S Howes St Ste 105aFort Collins, CO 80521-2871
Phone 970-430-5771
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