Healthcare Provider Details

I. General information

NPI: 1275461501
Provider Name (Legal Business Name): CASSIE WALKER LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DYLAN WALKER

II. Dates (important events)

Enumeration Date: 05/08/2026
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2625 REDWING RD STE 370
FORT COLLINS CO
80526-6314
US

IV. Provider business mailing address

2625 REDWING RD STE 370
FORT COLLINS CO
80526-6314
US

V. Phone/Fax

Practice location:
  • Phone: 970-239-1547
  • Fax:
Mailing address:
  • Phone: 970-239-1547
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPCC.0024060
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: