Individual
NICOLE DANTZLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4306 S GRAND ST, MONROE, LA 71202-6322
(318) 324-5441
Mailing address
1000 CHINABERRY DR STE 900, BOSSIER CITY, LA 71111-2455
(318) 324-5441
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
14969
LA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
12/23/2015
Last updated
07/28/2026
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