Charles S Hancock, MED, LPC, NCC | |
503 Remington St Ste 102, Fort Collins, CO 80524-3089 | |
(970) 556-4095 | |
Not Available |
Full Name | Charles S Hancock |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 503 Remington St Ste 102, Fort Collins, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780954776 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | NLC-12364 (Colorado) | Secondary |
101YP2500X | Counselor - Professional | LPC-11179 (Colorado) | Primary |
Entity Name | Inner Life Adventures, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689255390 PECOS PAC ID: 6305286857 Enrollment ID: O20240501000029 |
Mailing Address | Practice Location Address |
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Charles S Hancock, MED, LPC, NCC 343 W Drake Rd Ste 200, Fort Collins, CO 80526-2880 Ph: (970) 829-0478 | Charles S Hancock, MED, LPC, NCC 503 Remington St Ste 102, Fort Collins, CO 80524-3089 Ph: (970) 556-4095 |
Craig Mcfadden, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4601 Corbett Dr, Fort Collins, CO 80528 Phone: 970-207-4800 Fax: 970-207-4805 | |
Caroline Catherine Bunn, LPC, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 4856 Innovation Dr Ste B, Fort Collins, CO 80525 Phone: 970-494-4200 | |
Andrea Strayer, LCSW, CAC II, MSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 4856 Innovation Dr, Fort Collins, CO 80525 Phone: 970-494-4200 Fax: 970-613-4475 | |
Velma G Gallegos, CAC III Counselor Medicare: Not Enrolled in Medicare Practice Location: 525 W Oak St, Fort Collins, CO 80521 Phone: 970-494-4300 | |
Mrs. Kayla Elizabeth Poulson, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 425 W Mulberry St Ste 101, Fort Collins, CO 80521 Phone: 970-530-2887 | |
Monica Rowell, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4115 Boardwalk Dr, Suite 100, Fort Collins, CO 80525 Phone: 970-493-4580 | |
Stephanie Robyn Saxe, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 215 W Oak St Fl 4, Fort Collins, CO 80521 Phone: 970-310-3406 |