Basic Information
| Provider Information | |||||||||
| NPI: | 1114159613 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | NACHT | ||||||||
| FirstName: | JOSHUA | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | MR. | ||||||||
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| Credential: | M.A., L.P.C. | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 1401 | ||||||||
| Address2: | |||||||||
| City: | LYONS | ||||||||
| State: | CO | ||||||||
| PostalCode: | 805401401 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3038685517 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 311 MAPLETON AVE | ||||||||
| Address2: | |||||||||
| City: | BOULDER | ||||||||
| State: | CO | ||||||||
| PostalCode: | 803043979 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3034410560 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/17/2009 | ||||||||
| LastUpdateDate: | 08/17/2009 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YP2500X | 5233 | CO | Y | Behavioral Health & Social Service Providers | Counselor | Professional |
No ID Information.