Provider Demographics
NPI:1801529235
Name:AL-YAGOUT, NADIA (MA, LPCC)
Entity type:Individual
Prefix:
First Name:NADIA
Middle Name:
Last Name:AL-YAGOUT
Suffix:
Gender:F
Credentials:MA, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:835 TENNYSON ST APT D
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80204-2998
Mailing Address - Country:US
Mailing Address - Phone:707-599-6114
Mailing Address - Fax:
Practice Address - Street 1:8775 E ORCHARD RD STE 821
Practice Address - Street 2:
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-5010
Practice Address - Country:US
Practice Address - Phone:707-599-6114
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-04
Last Update Date:2022-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPCC.0019628101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor