MEDICARE: SYDNEY FOCHT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor		CO

General Provider Information

NPI Number	:	1629651245
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SYDNEY FOCHT

Provider Business Mailing Address
First Line	:	60 VRAIN ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80219-1144
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2120 MILESTONE DR STE 103
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80525-5761
Country	:	US
Telephone Number	:	970-829-8780
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/02/2021
Last Update Date	:	11/07/2024

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Directions to “ SYDNEY FOCHT ” Practice Location

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