Provider Demographics
NPI:1932754652
Name:BOZAS, NICOLE (BA, MA, RP)
Entity Type:Individual
Prefix:
First Name:NICOLE
Middle Name:
Last Name:BOZAS
Suffix:
Gender:F
Credentials:BA, MA, RP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7585 W 66TH AVE STE C
Mailing Address - Street 2:
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80003-3970
Mailing Address - Country:US
Mailing Address - Phone:303-467-2624
Mailing Address - Fax:303-431-8410
Practice Address - Street 1:7585 W 66TH AVE STE C
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80003-3970
Practice Address - Country:US
Practice Address - Phone:303-467-2624
Practice Address - Fax:303-431-8410
Is Sole Proprietor?:No
Enumeration Date:2019-08-08
Last Update Date:2019-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor