Provider Demographics
NPI:1306506282
Name:REINHARD, DOMINICA NEL FRANCESCA
Entity type:Individual
Prefix:
First Name:DOMINICA NEL
Middle Name:FRANCESCA
Last Name:REINHARD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6343 E GIRARD PL UNIT 204
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80222-7423
Mailing Address - Country:US
Mailing Address - Phone:719-650-5548
Mailing Address - Fax:
Practice Address - Street 1:2370 W ALAMEDA AVE
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80223-1991
Practice Address - Country:US
Practice Address - Phone:303-477-8280
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-20
Last Update Date:2021-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)