Individual
NICOLETTE BANES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2240 9TH ST, CORALVILLE, IA 52241-1575
(319) 800-5564
Mailing address
2240 9TH ST, CORALVILLE, IA 52241-1575
(319) 800-5564
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/19/2021
Last updated
04/24/2023
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