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NPI Code Detail

MEDICARE: NICOLE TRONZO MA, LPC, LAC

MEDICARE: NICOLE TRONZO MA, LPC, LAC
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
1101YA0400XAddiction (Substance Use Disorder) CounselorACD.0002028CO
2101YM0800XMental Health CounselorLPC.0016469CO

General Provider Information

NPI Number : 1891288981
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLE TRONZO MA, LPC, LAC
Provider Business Mailing Address
First Line : 420 E 58TH AVE STE 210
Second Line :
City : DENVER
State : CO
Zip : 80216-1400
Country : US
Telephone Number : 720-854-0262
Fax Number :
Provider Business Practice Location Address
First Line : 420 E 58TH AVE STE 210
Second Line :
City : DENVER
State : CO
Zip : 80216-1400
Country : US
Telephone Number : 720-854-0262
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2018
Last Update Date : 09/23/2024

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