Doctor Name: | NICHOLAS HOEGER |
NPI Number: | 1316193378 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MAE, NCC, LPC |
License Number: | 4999 |
Business Practice Address: | 90 Lariat Loop Edwards, CO - 81632 |
Business Phone Number: | 9709268558 |
Business Fax Number: | 9709266845 |
Mailing Address: | Po Box 19000, AVON |
State: | CO |
Postal Code: | 816209010 |
Phone Number: | 9709268558 |
Fax Number: | 9709266845 |
NPI Enumeration Date: | 08/11/2008 |
NPI Last Update Date: | 08/11/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 4999 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |