Individual
NICOLE ZLATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPCC, LADC
Contact information
Practice address
2006 1ST AVE STE 201, ANOKA, MN 55303-2255
(763) 647-8188
Mailing address
1902 5TH AVE STE 4, ANOKA, MN 55303-2692
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
306627
MN
101YM0800X
Mental Health Counselor
3399
MN
Other
Enumeration date
11/16/2020
Last updated
11/09/2023
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