Individual
NICOLE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
35 VAN GORDON ST APT 702, LAKEWOOD, CO 80228-1750
(970) 290-8172
Mailing address
35 VAN GORDON ST APT 702, LAKEWOOD, CO 80228-1750
(720) 951-8664
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
11582
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11582
—
CO
Enumeration date
10/04/2019
Last updated
07/24/2021
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