Provider Demographics
NPI:1033840848
Name:CAMPANIELLO, NINA M (LPCC-C)
Entity Type:Individual
Prefix:
First Name:NINA
Middle Name:M
Last Name:CAMPANIELLO
Suffix:
Gender:F
Credentials:LPCC-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9725 E HAMPDEN AVE STE 400
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80231-4919
Mailing Address - Country:US
Mailing Address - Phone:303-504-6188
Mailing Address - Fax:
Practice Address - Street 1:9725 E HAMPDEN AVE STE 400
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80231-4919
Practice Address - Country:US
Practice Address - Phone:303-504-6188
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-22
Last Update Date:2022-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPCC.0018875101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional