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Nicole Rae Penner
Mental Health Counselor in Arvada, Colorado
NPI 1407488158

Nicole Rae Penner is a Mental Health Counselor based in Arvada, CO and is specialized in Mental Health. Nicole Rae Penner practices in Arvada, CO. The NPI Number for Nicole Rae Penner is 1407488158 and holds a License No. (Colorado).

The current practice location address for Nicole Rae Penner is 5652 Jellison St, Arvada, CO and can be reached out via phone at 218-686-4965.

Location: 5652 Jellison St, Arvada, CO, 80002-2145
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407488158
Provider Name
Nicole Rae Penner
Credential
Provider Entity Type
Individual
Gender
Female
Address
5652 Jellison St, Arvada, CO, 80002-2145
Phone Number
218-686-4965
Fax Number
Provider Enumeration Date
02/11/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5652 Jellison St
City
Arvada
State
Colorado
Zip
80002-2145
Phone Number
218-686-4965
Fax Number
person
Provider Business Mailing Address Details
Address
5652 Jellison St
City
Arvada
State
Colorado
Zip
80002-2145
Phone Number
218-686-4965
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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