Individual
NIKKI WAIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 17TH AVE NW, STE 2, GLENWOOD, MN 56334-2159
(320) 634-3446
(320) 634-0384
Mailing address
100 17TH AVE NW, STE 2, GLENWOOD, MN 56334-2159
(320) 634-3446
(320) 634-0384
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
304087
MN
Other
Enumeration date
11/12/2015
Last updated
11/12/2015
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