Individual
NICOLE MUZZY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LMFT, LADC
Contact information
Practice address
3025 SILVER LAKE RD NE, SAINT ANTHONY, MN 55418-2435
(651) 285-6363
Mailing address
3025 SILVER LAKE RD NE, SAINT ANTHONY, MN 55418
(651) 285-6363
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
303244
MN
101YM0800X
Mental Health Counselor
Primary
3758
MN
Other
Enumeration date
01/25/2017
Last updated
10/25/2018
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