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NPI Code Detail

MEDICARE: MS. NICOLE RENEE MCGUIRE MA, LMHP, LPC

MEDICARE: MS. NICOLE RENEE MCGUIRE MA, LMHP, LPC
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
1172V00000XCommunity Health Worker

General Provider Information

NPI Number : 1710140363
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. NICOLE RENEE MCGUIRE MA, LMHP, LPC
Provider Business Mailing Address
First Line : 320 W OLIVE ST
Second Line :
City : FORT COLLINS
State : CO
Zip : 80521-2716
Country : US
Telephone Number : 970-498-0709
Fax Number :
Provider Business Practice Location Address
First Line : 320 W OLIVE ST
Second Line :
City : FORT COLLINS
State : CO
Zip : 80521-2716
Country : US
Telephone Number : 970-498-0709
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/03/2008
Last Update Date : 11/04/2015

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