Individual provider · Type 1 NPI

Nicole Rae Penner

Mental Health Counselor · Arvada, CO

NPI number 1407488158 Active

Practice location

5652 Jellison St
Arvada, CO 80002-2145

Call (218) 686-4965 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1407488158

Nicole Rae Penner's National Provider Identifier is 1407488158, issued on Feb 11, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Arvada, CO. The record was last updated on Feb 11, 2020.