Provider Demographics
NPI:1316193378
Name:HOEGER, NICHOLAS (MAE, NCC, LPC)
Entity Type:Individual
Prefix:
First Name:NICHOLAS
Middle Name:
Last Name:HOEGER
Suffix:
Gender:M
Credentials:MAE, NCC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 19000
Mailing Address - Street 2:
Mailing Address - City:AVON
Mailing Address - State:CO
Mailing Address - Zip Code:81620-9010
Mailing Address - Country:US
Mailing Address - Phone:970-926-8558
Mailing Address - Fax:970-926-6845
Practice Address - Street 1:90 LARIAT LOOP
Practice Address - Street 2:
Practice Address - City:EDWARDS
Practice Address - State:CO
Practice Address - Zip Code:81632
Practice Address - Country:US
Practice Address - Phone:970-926-8558
Practice Address - Fax:970-926-6845
Is Sole Proprietor?:No
Enumeration Date:2008-08-11
Last Update Date:2008-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO4999101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional