Individual
MR. RONALD G NICOLET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LMHC, LCAC, NCC
Contact information
Practice address
1910 SAINT JOE CENTER RD, SUITE 13, FORT WAYNE, IN 46825-5000
(260) 918-6323
(260) 755-5867
Mailing address
PO BOX 5235, SUITE 13, KENDALLVILLE, IN 46755-5235
(260) 918-6323
(260) 242-5338
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39001898A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100190820
—
IN
05
—
201029880
—
IN
Enumeration date
04/10/2008
Last updated
11/19/2019
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