Individual
NICOLE M RUNYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC, LADC
Contact information
Practice address
914 S 8TH ST, MINNEAPOLIS, MN 55404-1204
(612) 873-5500
Mailing address
701 PARK AVE, MINNEAPOLIS, MN 55415-1623
(612) 873-3000
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
303180
MN
101YM0800X
Mental Health Counselor
Primary
3550
MN
Other
Enumeration date
06/08/2012
Last updated
01/29/2025
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