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Individual

NICOLE JO MATER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3257 W 20TH ST STE 200, GREELEY, CO 80634-6550
(970) 672-4667
Mailing address
3257 W 20TH ST STE 200, GREELEY, CO 80634-6550
(970) 672-4667

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
101YM0800X
Mental Health Counselor

Other

Enumeration date
04/23/2024
Last updated
04/23/2024
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