Individual
MRS. NICOLE K MCLEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAC II
Contact information
Practice address
1155 CHEROKEE ST, DENVER, CO 80204-3632
(303) 436-3500
Mailing address
2243 SILVER OAKS DR, FORT COLLINS, CO 80526-6431
(970) 223-2517
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6862
CO
Other
Enumeration date
11/30/2011
Last updated
11/30/2011
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