Patrick, Nichole

Patrick, Nichole is an individual health care provider with primary practice located at 2300 Foothill Blvd , Rock Springs WY 82901. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Patrick, Nichole can be contacted via phone (307) 352-6677.

Contact Information

Primary practice address
2300 Foothill Blvd Rock Springs WY 82901
Phone: (307) 352-6677
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X T-17-376 Oregon
Behavioral Health & Social Service Providers / Counselor 101Y00000X LPC-1440 Wyoming

Profile Details

NPI number 1962640987
LBN Legal business name Patrick, Nichole
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 29th, 2009
Last updated Jan 24th, 2019 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1962640987 NPPES
Wyoming MEDICAID 1962640987

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