Provider Demographics
NPI:1861093684
Name:REID, NICOLE HONNEN (MA, LPCC)
Entity type:Individual
Prefix:MRS
First Name:NICOLE
Middle Name:HONNEN
Last Name:REID
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 1:7846 S LAFAYETTE CT
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80122-3017
Mailing Address - Country:US
Mailing Address - Phone:303-819-4841
Mailing Address - Fax:
Practice Address - Street 1:7846 S LAFAYETTE CT
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80122-3017
Practice Address - Country:US
Practice Address - Phone:303-819-4841
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-06
Last Update Date:2024-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPCC.0021413101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional