Individual provider · Type 1 NPI
Niccole Fortunato, LPC
Mental Health Counselor · Boulder, CO
NPI number
1679387872
Active
Practice location
645 Manhattan Pl Apt 211
Boulder, CO 80303-4041
Other practice locations
- 6680 Gunpark Dr, Boulder, CO 80301-3349 · (720) 459-4847
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 0020828 (CO) |
Mental Health Counselor: Definition to come...
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About NPI 1679387872
Niccole Fortunato, LPC's National Provider Identifier is 1679387872, issued on Feb 6, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Boulder, CO. The record was last updated on Feb 6, 2025.