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NICOLE DION FESTA MA, LAC, NCAC I, NCC

Addiction (Substance Use Disorder) >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1790021335

Individual Registrant:
 NICOLE DION FESTA MA, LAC, NCAC I, NCC
Gender: F
Sole Proprietor

Location and contact information for practice:
13659 E 104TH AVE  COMMERCE CITY, CO 80022-9402 US
Tel: 203-444-1382  Fax: --

Contact information for business:
13659 E 104TH AVE  COMMERCE CITY, CO 80022-9402 US
Tel: 203-444-1382  Fax: --

Registration Information:
NPI: 1790021335
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YA0400XBehavioral Health & Social Service Providers
Counselor
Addiction (Substance Use Disorder)
COACD.0000813

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS CO - Page 1

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