Individual
ASTRA CORDREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAS
Contact information
Practice address
2114 MIDPOINT DR UNIT 4, FORT COLLINS, CO 80525-4324
(970) 372-3144
(970) 482-1921
Mailing address
122 PEREGRINE LN, LYONS, CO 80540-4211
(860) 751-4789
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACC.0998669
CO
Other
Enumeration date
09/10/2020
Last updated
09/10/2020
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