Individual
COURTNEY NOWICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
401 W BRISTOL ST, ELKHART, IN 46514-3019
(574) 400-8850
Mailing address
401 W BRISTOL ST, ELKHART, IN 46514-3019
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
33010110A
IN
101YM0800X
Mental Health Counselor
Primary
34010717A
IN
Other
Enumeration date
02/15/2023
Last updated
08/21/2024
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