Individual
JACK GEDDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3000 S COLLEGE AVE UNIT 202, FORT COLLINS, CO 80525-2558
(970) 221-4057
Mailing address
3000 S COLLEGE AVE UNIT 202, FORT COLLINS, CO 80525-2558
(970) 221-4057
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ADDC.0000392
CO
101YM0800X
Mental Health Counselor
ADDC.0000392
CO
172V00000X
Community Health Worker
—
—
Other
Enumeration date
02/26/2022
Last updated
08/21/2023
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