Healthcare Provider Details

I. General information

NPI: 1013832351
Provider Name (Legal Business Name): ANDREW ADAMS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2307 MIDPOINT DR
FORT COLLINS CO
80525-4378
US

IV. Provider business mailing address

6987 STEEPLE CHASE DR APT 106
WINDSOR CO
80550-8189
US

V. Phone/Fax

Practice location:
  • Phone: 970-498-7307
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberACD.0002781
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: