Individual
ANNE KAREN POULSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, MED, LPC, NCC
Contact information
Practice address
1117 PONDEROSA DR, FORT COLLINS, CO 80521-4142
(970) 217-6823
Mailing address
1117 PONDEROSA DR, FORT COLLINS, CO 80521-4142
(970) 217-6823
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC0013632
CO
101YP2500X
Professional Counselor
LPCC0013632
CO
Other
Enumeration date
08/31/2015
Last updated
11/06/2015
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