Organization
A NORTH STAR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBRA PAULISON CAC II (OWNER)
(970) 308-4552
Entity
Organization
Contact information
Practice address
301 SPAULDING LN LOT 15, FORT COLLINS, CO 80524-1858
(970) 308-4552
Mailing address
301 SPAULDING LN LOT 15, FORT COLLINS, CO 80524-1858
(970) 308-4552
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
15
CO
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
7223
CO
101YM0800X
Mental Health Counselor
4420
CO
Other
Enumeration date
12/05/2013
Last updated
12/05/2013
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