Individual
NICHOLE ANN GORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA LPCC
Contact information
Practice address
16003 ESTATE LN, LAKEVILLE, MN 55044-2269
(612) 868-1068
Mailing address
16003 ESTATE LN, LAKEVILLE, MN 55044-2269
(612) 868-1068
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC01607
MN
Other
Enumeration date
09/04/2017
Last updated
03/13/2018
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