Domine, Nicole

Domine, Nicole is an individual health care provider with primary practice located at 4357 13Th Ave S Ste 104 , Fargo ND 58103-7504. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Domine, Nicole can be contacted via phone (701) 478-4480.

Contact Information

Primary practice address
4357 13Th Ave S Ste 104 Fargo ND 58103-7504
Phone: (701) 478-4480
Fax: (701) 478-4481
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 23025 Minnesota
Behavioral Health & Social Service Providers / Clinical 1041C0700X 5293 North Dakota

Profile Details

NPI number 1396280954
LBN Legal business name Domine, Nicole
Credentials LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2017
Last updated Nov 22nd, 2024 - about 2 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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