Individual
NICHOLE RAE LOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC II, MRT-DV
Contact information
Practice address
279 SW 10TH ST, ONTARIO, OR 97914-2135
(541) 709-3059
(541) 719-1709
Mailing address
279 SW 10TH ST, ONTARIO, OR 97914-2135
(541) 709-3059
(541) 719-1709
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/15/2016
Last updated
12/14/2023
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