Healthcare Provider Details

I. General information

NPI: 1497450118
Provider Name (Legal Business Name): BRITTANY NICOLE STURGEON LPC, ADDC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2023
Last Update Date: 03/03/2026
Certification Date: 03/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

208 RACQUETTE DR
FORT COLLINS CO
80524-4851
US

IV. Provider business mailing address

208 RACQUETTE DR
FORT COLLINS CO
80524-4851
US

V. Phone/Fax

Practice location:
  • Phone: 970-222-5128
  • Fax:
Mailing address:
  • Phone: 970-310-3406
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC.0023504
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPCC.0020470
License Number StateCO
# 3
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberADDC.0000304
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: