Organization
PELLETIER COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER PELLETIER LPC (OWNER)
(970) 579-0884
Entity
Organization
Contact information
Practice address
109 CORONADO CT UNIT 7, FORT COLLINS, CO 80525-4929
(970) 549-0884
Mailing address
109 CORONADO CT BUILDING 7, FORT COLLINS, CO 80525-4929
(970) 579-0884
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1578913190
—
CO
Enumeration date
09/10/2019
Last updated
01/31/2024
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