Search › Colorado › 101YA0400X
John Wilde, MA, LAC
NPI 1245631712 · on the registry since 2014
Practice
- Address
- 125 Crestridge St
Fort Collins, CO 80525 - Phone
- (970) 494-9761
- Clinicians at this address
- 32
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- CO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-09-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado