Individual
ALLEN DAVIS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4856 INNOVATION DR, FORT COLLINS, CO 80525-5539
(970) 494-4200
(970) 613-4475
Mailing address
4856 INNOVATION DR, FORT COLLINS, CO 80525-5539
(970) 494-4200
(970) 613-4475
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ACD.0002194
CO
101YP2500X
Professional Counselor
Primary
LPC.0019957
CO
Other
Enumeration date
08/26/2020
Last updated
07/22/2024
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