Individual
NATHAN SHOCKLEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4455 E 12TH AVE, DENVER, CO 80220-2415
(303) 504-7700
Mailing address
9707 E COLORADO AVE APT 113, AURORA, CO 80247-3000
(936) 414-9526
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/17/2015
Last updated
11/18/2016
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