Individual
NICOLE LOVALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6140 LAKE LINDEN DR, SHOREWOOD, MN 55331-2954
(612) 360-7061
Mailing address
27425 BLUE RIDGE LN, EXCELSIOR, MN 55331-8323
(612) 360-7061
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/17/2021
Last updated
12/17/2021
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