Healthcare Provider Details

I. General information

NPI: 1487332599
Provider Name (Legal Business Name): HUNTER J DICKSON LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/10/2023
Last Update Date: 07/10/2023
Certification Date: 07/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31503 POUDRE CANYON RD # 14
BELLVUE CO
80512-9312
US

IV. Provider business mailing address

611 S LOOMIS AVE
FORT COLLINS CO
80521-3625
US

V. Phone/Fax

Practice location:
  • Phone: 303-726-8722
  • Fax:
Mailing address:
  • Phone: 303-726-8722
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPCC.0020931
License Number StateCO

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: