Nicole Cerutti Yazdi, MA, R-DMT, LCAT-LP

NPI #1083123574 in Boulder, Colorado

Provider Information

NPI Number: 1083123574
Entity Type: Individual
Name: Nicole Cerutti Yazdi, MA, R-DMT, LCAT-LP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dance Therapist
Credential: MA, R-DMT, LCAT-LP
Enumeration Date: Sep 27, 2017
Last Updated: Mar 17, 2018

Practice Location

Address: 1150 MAXWELL AVE STE 200
City: Boulder
State: Colorado
ZIP Code: 80304-4185
Phone: (800) 261-0127

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X
Dance Therapist	225600000X	Primary

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