Provider Demographics
NPI:1649342619
Name:SMITH, NANCY METCALF (MA, LPC, CAC II)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:METCALF
Last Name:SMITH
Suffix:
Gender:F
Credentials:MA, LPC, CAC II
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7406 S IRELAND WAY
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80016-1764
Mailing Address - Country:US
Mailing Address - Phone:303-517-2904
Mailing Address - Fax:303-680-6542
Practice Address - Street 1:7406 S IRELAND WAY
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80016-1764
Practice Address - Country:US
Practice Address - Phone:303-517-2904
Practice Address - Fax:303-680-6542
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO4262101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional