Individual
CRYSTAL VESSELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CAS
Contact information
Practice address
1008 PATTON ST, FORT COLLINS, CO 80524
(970) 494-4200
Mailing address
4856 INNOVATION DR STE B, FORT COLLINS, CO 80525-5540
(970) 494-4200
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACC.0007256
CO
Other
Enumeration date
07/07/2015
Last updated
11/09/2020
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