Provider Demographics
NPI:1982955910
Name:MCGUFFIN, NICOLE (PSYD, LPC, BCN)
Entity Type:Individual
Prefix:DR
First Name:NICOLE
Middle Name:
Last Name:MCGUFFIN
Suffix:
Gender:F
Credentials:PSYD, LPC, BCN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 881959
Mailing Address - Street 2:
Mailing Address - City:STEAMBOAT SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80488-1959
Mailing Address - Country:US
Mailing Address - Phone:720-891-8029
Mailing Address - Fax:
Practice Address - Street 1:TWO PINE BUILDING
Practice Address - Street 2:942 OAK STREET
Practice Address - City:STEAMBOAT SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80487-1959
Practice Address - Country:US
Practice Address - Phone:970-439-1938
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-01
Last Update Date:2022-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO6494101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional