Individual
MRS. DEBORAH LOUISE FENTON-NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LAC
Contact information
Practice address
300 E. BOARDWALK DRIVE, BUILDING 6A, FORT COLLINS, CO 80525-3093
(970) 443-1038
Mailing address
PO BOX 2124, FORT COLLINS, CO 80522-2124
(970) 443-1038
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
332
CO
101YM0800X
Mental Health Counselor
Primary
5358
CO
Other
Enumeration date
02/17/2010
Last updated
09/12/2019
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