Individual
KATHY NADEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15001 E OXFORD AVE, AURORA, CO 80014-4186
(303) 693-1550
Mailing address
3620 W 103RD AVE, WESTMINSTER, CO 80031-2405
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
140787342
EXCELSIOR YOUTH CENTER NATIONAL PROVIDER #
CO
01
—
840681524
EXCELSIOR YOUTH CENTER EMPLOYER ID #
CO
Enumeration date
08/12/2015
Last updated
08/12/2015
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