Ashita Alexander, LAC

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Estes Park, CO

NPI 1750150371 · NPPES record last updated Dec 22, 2023

Key facts

NPI
1750150371
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
License
ACD.0002070 (CO)
Practice address
1600 Fish Hatchery Rd
Estes Park, CO 80517-9227
Phone
(970) 577-4707
NPI assigned
Dec 22, 2023
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
ACD.0002070COMDAddiction (Substance Use Disorder) Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor
Group: 193200000X MULTI-SPECIALTY GROUP
101YA0400X ACD.0002070 CO Yes

Addresses

Primary practice location

1600 Fish Hatchery Rd
Estes Park, CO 80517-9227

Mailing address

1600 Fish Hatchery Rd
Estes Park, CO 80517-9227
Phone (970) 577-4707

Other providers in Estes Park, CO

All providers in Estes Park, CO · Addiction (Substance Use Disorder) Counselor in Colorado

Sources for this page

Verify at the official NPI Registry.