| Doctor Name: | MRS. DENISE KATHARINE DENICOLO |
| NPI Number: | 1710062286 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | 10273 |
| Business Practice Address: | 18534 Forty-six Pkwy Suite 4 Spring Branch, TX - 78070 |
| Business Phone Number: | 2108646445 |
| Business Fax Number: | |
| Mailing Address: | 325 Whitestone Dr, SPRING BRANCH |
| State: | TX |
| Postal Code: | 780706046 |
| Phone Number: | 2104146445 |
| Fax Number: | |
| NPI Enumeration Date: | 10/25/2006 |
| NPI Last Update Date: | 09/09/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 10273 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |