Individual
DIA NICHOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
3445 PENROSE PL STE 240, BOULDER, CO 80301-1877
(303) 579-5471
Mailing address
3445 PENROSE PL STE 240, BOULDER, CO 80301-1877
(303) 579-5471
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
NLC.0108720
CO
Other
Enumeration date
04/23/2019
Last updated
04/23/2019
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