Individual
NICOLE WARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10151 DORRELL LN, UNIT 1167, LAS VEGAS, NV 89166-1026
(850) 313-0112
Mailing address
10151 DORRELL LN, UNIT 1167, LAS VEGAS, NV 89166-1026
(850) 313-0112
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
5024
FL
101YM0800X
Mental Health Counselor
51023
FL
102L00000X
Psychoanalyst
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
06/06/2013
Last updated
06/06/2013
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