Individual
CANDISS NICOLE WOLLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SWC
Contact information
Practice address
418 S SLIGO ST, CORTEZ, CO 81321-4718
(970) 565-4855
Mailing address
PO BOX 1581, DOLORES, CO 81323-1581
(719) 619-6676
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW.09932833
CO
1041C0700X
Clinical Social Worker
SWC0000001202
CO
106S00000X
Behavior Technician
RBT-19-101341
CO
Other
Enumeration date
10/09/2019
Last updated
02/23/2026
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