Provider Demographics
NPI:1972878262
Name:NELSON, MONICA LEIGH
Entity type:Individual
Prefix:
First Name:MONICA
Middle Name:LEIGH
Last Name:NELSON
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 1:11706 W CHENANGO DR APT 15
Mailing Address - Street 2:
Mailing Address - City:MORRISON
Mailing Address - State:CO
Mailing Address - Zip Code:80465-2020
Mailing Address - Country:US
Mailing Address - Phone:720-252-0419
Mailing Address - Fax:
Practice Address - Street 1:4500 CHERRY CREEK DRIVE
Practice Address - Street 2:SUITE 940
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80246
Practice Address - Country:US
Practice Address - Phone:303-322-9989
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-20
Last Update Date:2012-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor