Provider Demographics
NPI:1407133101
Name:NADER, JAMES JOSEPH (MA)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:JOSEPH
Last Name:NADER
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1254 S FLOWER CIR
Mailing Address - Street 2:#E
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80232-2026
Mailing Address - Country:US
Mailing Address - Phone:303-829-2894
Mailing Address - Fax:
Practice Address - Street 1:1254 S FLOWER CIR
Practice Address - Street 2:#E
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80232-2026
Practice Address - Country:US
Practice Address - Phone:303-829-2894
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-08
Last Update Date:2011-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO3701101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health