Provider Demographics
NPI:1982004925
Name:BARRETT, TERESA (MA, LPC, ATR)
Entity Type:Individual
Prefix:
First Name:TERESA
Middle Name:
Last Name:BARRETT
Suffix:
Gender:F
Credentials:MA, LPC, ATR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:649 REMINGTON ST
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80524-3024
Mailing Address - Country:US
Mailing Address - Phone:970-420-2516
Mailing Address - Fax:970-482-1148
Practice Address - Street 1:343 W DRAKE RD STE 200
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80526-2880
Practice Address - Country:US
Practice Address - Phone:970-420-2516
Practice Address - Fax:970-482-1148
Is Sole Proprietor?:No
Enumeration Date:2014-08-27
Last Update Date:2017-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC.0012035101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional