Individual
MRS. NICOLE MARCIA DANZELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
465 SHADOW WOOD DR, YORKVILLE, IL 60560-4685
(779) 279-2028
Mailing address
465 SHADOW WOOD DR, YORKVILLE, IL 60560-4685
(779) 279-2028
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
208.001189
IL
Other
Enumeration date
07/31/2024
Last updated
08/13/2024
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