Organization · Type 2 NPI
Ponderosa Counseling Center LLC
Psychiatric/Mental Health Nurse Practitioner · Parker, CO
NPI number
1043737315
Active
Practice location
19753 E Pikes Peak Ave, Suite 202
Parker, CO 80138
Fax (720) 542-3566
Mailing address
19753 E Pikes Peak Ave Ste 202
Parker, CO 80138-7435
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | APN0004453-NP (CO) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1043737315
Ponderosa Counseling Center LLC's National Provider Identifier is 1043737315, issued on Aug 27, 2017. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Parker, CO. The record was last updated on Jul 21, 2022.