# A NORTH STAR

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437580156
- **Authorized official:** MS. DEBRA PAULISON CAC II (OWNER)
- **Authorized official phone:** (970) 308-4552

## Contact information

- **Practice address:** 301 SPAULDING LN LOT 15, FORT COLLINS, CO 80524-1858
- **Practice address phone:** (970) 308-4552
- **Mailing address:** 301 SPAULDING LN LOT 15, FORT COLLINS, CO 80524-1858
- **Mailing address phone:** (970) 308-4552

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 15 | CO | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 7223 | CO | Yes |
| 101YM0800X | Mental Health Counselor | 4420 | CO | — |

## Other

- **Enumeration date:** 12/05/2013
- **Last updated:** 12/05/2013