Provider Demographics
NPI:1275963738
Name:FRANKE, NANCY (LPC, ATR)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:
Last Name:FRANKE
Suffix:
Gender:F
Credentials:LPC, ATR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1526 SPRUCE ST
Mailing Address - Street 2:SUITE 211
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80302-4261
Mailing Address - Country:US
Mailing Address - Phone:303-587-0088
Mailing Address - Fax:
Practice Address - Street 1:1526 SPRUCE ST
Practice Address - Street 2:SUITE 211
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80302-4261
Practice Address - Country:US
Practice Address - Phone:303-587-0088
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-20
Last Update Date:2013-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC.0011482101YP2500X
COATCB# 12-029221700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist