Individual
DANIEL NICOLAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1021 N MULFORD RD, ROCKFORD, IL 61107-3877
(815) 391-1000
Mailing address
530 WESTOVER LN, SCHAUMBURG, IL 60193-2431
(708) 254-3202
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178010071
IL
Other
Enumeration date
06/06/2016
Last updated
06/06/2016
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