Individual provider · Type 1 NPI

Stephanie A. Nisle

Professional Counselor · Lakewood, CO

NPI number 1104474410 Active

Practice location

3595 S Teller St
Lakewood, CO 80235-2014

Mailing address

4851 Independence St
Wheat Ridge, CO 80033-6715

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Professional Counselor Primary 101YP2500XLPC.0017134 (CO)

Professional Counselor: Definition to come...

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About NPI 1104474410

Stephanie A. Nisle's National Provider Identifier is 1104474410, issued on Aug 29, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Lakewood, CO. The record was last updated on Sep 21, 2022.