RICHARD MICCIO

LAKEWOOD, CO
NPI1598051757
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2011-06-24
Last Update Date2015-01-07
Business Address
-- RICHARD MICCIO
9808 W CEDAR AVE
LAKEWOOD, CO 80226-1023
Phone number: 303-425-0300
Mailing Address
-- RICHARD MICCIO
4851 INDEPENDENCE ST SUITE 200
WHEAT RIDGE, CO 80033-6715
Phone number: 303-425-0300