Provider Demographics
NPI:1548801467
Name:AGEE, DESIREE (LCSW, LAC)
Entity type:Individual
Prefix:MS
First Name:DESIREE
Middle Name:
Last Name:AGEE
Suffix:
Gender:F
Credentials:LCSW, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:109 CAMERON DR BLDG A
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80525-3961
Mailing Address - Country:US
Mailing Address - Phone:918-899-3218
Mailing Address - Fax:
Practice Address - Street 1:109 CAMERON DR BLDG A
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80525-3961
Practice Address - Country:US
Practice Address - Phone:970-205-9640
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-02
Last Update Date:2025-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COACD.0002672101YA0400X
COCSW.099321831041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)