# NICOLE KATRINA KORMAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1962794164
- **Gender:** F
- **Credential:** L.C.S.W., S.U.D.C.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 6242266-6006 | UT | — |
| 1041C0700X | Clinical Social Worker | 6242266-3501 | UT | Yes |

## Other

- **Enumeration date:** 05/05/2011
- **Last updated:** 02/28/2014