Provider Demographics
NPI:1710290556
Name:SMILINICH, NANCY JEANNE (LPC)
Entity Type:Individual
Prefix:MS
First Name:NANCY
Middle Name:JEANNE
Last Name:SMILINICH
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MS
Other - First Name:NANCY
Other - Middle Name:JEANNE
Other - Last Name:KUHN-SMILINICH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1385 S COLORADO BLVD
Mailing Address - Street 2:210
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80222-3304
Mailing Address - Country:US
Mailing Address - Phone:303-639-5240
Mailing Address - Fax:303-776-1494
Practice Address - Street 1:1000 15TH AVE
Practice Address - Street 2:
Practice Address - City:LONGMONT
Practice Address - State:CO
Practice Address - Zip Code:80501-2718
Practice Address - Country:US
Practice Address - Phone:303-639-5240
Practice Address - Fax:303-776-1494
Is Sole Proprietor?:No
Enumeration Date:2010-07-21
Last Update Date:2010-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO4633101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional