MEDICARE: PATRICE A. QUADREL LMFT, CACIII

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	4418	CO
2	106H00000X	Marriage & Family Therapist	432	CO

General Provider Information

NPI Number	:	1215090014
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICE A. QUADREL LMFT, CACIII

Provider Business Mailing Address
First Line	:	2837 DIXON CREEK LN
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80526-6271
Country	:	US
Telephone Number	:	970-215-9935
Fax Number	:

Provider Business Practice Location Address
First Line	:	503 REMINGTON ST
Second Line	:	SUITE 5
City	:	FORT COLLINS
State	:	CO
Zip	:	80524-3074
Country	:	US
Telephone Number	:	970-215-9935
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/19/2006
Last Update Date	:	09/11/2025

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