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Individual

MRS. DENISE KATHARINE DENICOLO

Active
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Individual

MRS. DENISE KATHARINE DENICOLO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
10273
TX
101YP2500X
Professional Counselor
Primary
62307
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11846935
CAQH
—
Enumeration date
10/25/2006
Last updated
09/09/2014
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