Deweese, Nicole Elizabeth

Deweese, Nicole Elizabeth is an individual health care provider with primary practice located at 1385 Mendota Heights Rd Ste 200 , Mendota Heights MN 55120-1289. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Deweese, Nicole Elizabeth can be contacted via phone (651) 379-9800.

Contact Information

Primary practice address
1385 Mendota Heights Rd Ste 200 Mendota Heights MN 55120-1289
Phone: (651) 379-9800
Fax: (651) 405-0358
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X CC02004 Minnesota
Behavioral Health & Social Service Providers / Professional 101YP2500X CC02004 Minnesota

Profile Details

NPI number 1578034856
LBN Legal business name Deweese, Nicole Elizabeth
Credentials MA, LPCC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 11th, 2018
Last updated May 30th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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