Larson, Nicole Andrea
Larson, Nicole Andrea is an individual health care provider with primary practice located at 1026 Np Ave N Apt 108 , Fargo ND 58102-4694. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Larson, Nicole Andrea can be contacted via phone (701) 212-7662.Contact Information
Primary practice address
1026 Np Ave N Apt 108
Fargo ND 58102-4694
Phone: (701) 212-7662
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 2585 | Minnesota |
Profile Details
| NPI number | 1518208362 |
|---|---|
| LBN Legal business name | Larson, Nicole Andrea |
| Credentials | MS, LPC, LPCC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 4th, 2013 |
| Last updated | Sep 11th, 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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