Healthcare Provider Details

I. General information

NPI: 1003524521
Provider Name (Legal Business Name): ALEC WURZBACHER MA, LPCC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/14/2022
Last Update Date: 09/13/2025
Certification Date: 09/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5250 LEETSDALE DR STE 300
DENVER CO
80246-1451
US

IV. Provider business mailing address

PO BOX 18412
PALATINE IL
60055-8412
US

V. Phone/Fax

Practice location:
  • Phone: 303-393-8050
  • Fax: 303-320-1953
Mailing address:
  • Phone: 866-525-5484
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC.002759
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: