Individual
NICOLE HAYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS, LADC
Contact information
Practice address
11660 ROUND LAKE BLVD NW, COON RAPIDS, MN 55433-2638
(763) 767-3350
(763) 767-0912
Mailing address
11660 ROUND LAKE BLVD NW, COON RAPIDS, MN 55433-2638
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
306978
MN
Other
Enumeration date
03/27/2024
Last updated
04/24/2024
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