Provider Demographics
NPI:1952519845
Name:MESHKO, NICHOLE DAWN (MA, LPC)
Entity Type:Individual
Prefix:MRS
First Name:NICHOLE
Middle Name:DAWN
Last Name:MESHKO
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4059 UMATILLA ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80211-2220
Mailing Address - Country:US
Mailing Address - Phone:720-987-8603
Mailing Address - Fax:
Practice Address - Street 1:4170 TENNYSON ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80212-2117
Practice Address - Country:US
Practice Address - Phone:720-987-8603
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2018-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO4352101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health