Individual
NICOLE TARA O'BRIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, MS
Contact information
Practice address
1500 NORTHWEST BLVD STE 207, COEUR D ALENE, ID 83814-2413
(208) 582-3665
Mailing address
1500 NORTHWEST BLVD STE 207, COEUR D ALENE, ID 83814-2413
(208) 582-3665
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1261477
ID
Other
Enumeration date
06/28/2024
Last updated
06/16/2026
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