Provider Demographics
NPI:1669194122
Name:DHILLON, NICHOLAS (LMFT, LAC)
Entity type:Individual
Prefix:
First Name:NICHOLAS
Middle Name:
Last Name:DHILLON
Suffix:
Gender:M
Credentials:LMFT, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1177 N GRANT ST STE 306
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80203-2362
Mailing Address - Country:US
Mailing Address - Phone:303-578-0797
Mailing Address - Fax:
Practice Address - Street 1:1177 N GRANT ST STE 306
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80203-2362
Practice Address - Country:US
Practice Address - Phone:303-578-0797
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-13
Last Update Date:2025-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COACD.0002447101YA0400X
COMFT.0002785106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)