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NPI Code Detail

MEDICARE: DANIELLE KAY NORDEMAN

MEDICARE:   DANIELLE KAY NORDEMAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorLPC.0020280CO

General Provider Information

NPI Number : 1134950983
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIELLE KAY NORDEMAN
Provider Business Mailing Address
First Line : 6165 LEHMAN DR STE 205
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80918-5406
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6165 LEHMAN DR STE 205
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80918-5406
Country : US
Telephone Number : 719-722-4176
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/13/2024
Last Update Date : 09/11/2024

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Directions to “ DANIELLE KAY NORDEMAN ” Practice Location

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