Healthcare Provider Details
I. General information
NPI: 1841663002
Provider Name (Legal Business Name): AARON HILL LCSW, LAC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 11/09/2015
Last Update Date: 07/12/2024
Certification Date: 07/12/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2629 REDWING RD STE 270
FORT COLLINS CO
80526-2879
US
IV. Provider business mailing address
2629 REDWING RD STE 270
FORT COLLINS CO
80526-2879
US
V. Phone/Fax
- Phone: 970-541-1574
- Fax:
- Phone: 970-541-1574
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | CSW.09925100 |
| License Number State | CO |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: