Provider Demographics
NPI:1568815512
Name:RYSER, NADINE OLIVIA (LPC 0015152)
Entity Type:Individual
Prefix:
First Name:NADINE
Middle Name:OLIVIA
Last Name:RYSER
Suffix:
Gender:F
Credentials:LPC 0015152
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:720 S COLORADO BLVD STE 610S
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80246-1942
Mailing Address - Country:US
Mailing Address - Phone:970-759-3915
Mailing Address - Fax:
Practice Address - Street 1:720 S COLORADO BLVD STE 610S
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80246-1942
Practice Address - Country:US
Practice Address - Phone:303-853-3500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-14
Last Update Date:2019-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO15152101YM0800X
COLPC.0015152101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health