Individual
NICOLE KAVITA SALZL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2705 BUNKER LAKE BLVD NW, ANDOVER, MN 55304-3784
(612) 900-0233
Mailing address
3101 129TH LN NW, COON RAPIDS, MN 55448-1102
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
305449
MN
Other
Enumeration date
04/27/2021
Last updated
04/27/2021
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