Lara Marie Polce, LPC | |
4601 Corbett Dr, Fort Collins, CO 80528-9579 | |
(702) 074-8579 | |
(970) 207-4885 |
Full Name | Lara Marie Polce |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 4601 Corbett Dr, 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 |
---|---|---|---|
1700913647 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 6497 (Colorado) | Secondary |
101YP2500X | Counselor - Professional | LPC.0004649 (Colorado) | Primary |
Entity Name | Poudre Valley Health Care Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760492714 PECOS PAC ID: 7618880709 Enrollment ID: O20031105000791 |
Mailing Address | Practice Location Address |
---|---|
Lara Marie Polce, LPC 4601 Corbett Dr, Fort Collins, CO 80528-9579 Ph: (702) 074-8579 | Lara Marie Polce, LPC 4601 Corbett Dr, Fort Collins, CO 80528-9579 Ph: (702) 074-8579 |
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, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1525 Riverside Ave, Fort Collins, CO 80524 Phone: 651-967-2006 |