Organization
ASPENRIDGE NORTH
Active
Parent organization
ASPENRIDGE NORTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
ASPENRIDGE NORTH
Authorized official
ALEX LOUCKS (CFO)
(312) 282-1734
Entity
Organization
Contact information
Practice address
706 S COLLEGE AVE STE 201, FORT COLLINS, CO 80524-9860
(970) 875-6116
Mailing address
706 S COLLEGE AVE STE 201, FORT COLLINS, CO 80524-9860
(970) 875-6116
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1774-01
OBH STATE LICENSE
CO
Enumeration date
02/16/2021
Last updated
02/16/2021
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