Individual
NICOLE L GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
826 1ST AVE N, FORT DODGE, IA 50501-3997
(515) 573-3931
(515) 573-3950
Mailing address
826 1ST AVE N, FORT DODGE, IA 50501-3997
(515) 573-3931
(515) 573-3950
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
18023
IA
Other
Enumeration date
04/26/2023
Last updated
04/26/2023
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