Individual
JOSEPH DENICHOLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
844 MAIN ST STE 203, LOUISVILLE, CO 80027-1806
Mailing address
1437 MOONLIGHT DR, LONGMONT, CO 80504-1758
(480) 467-8785
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
NLC.0109598
CO
Other
Enumeration date
07/12/2019
Last updated
01/19/2023
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