Individual
NICOLE LEE MALECEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPS LPCC LADC
Contact information
Practice address
410 CHURCH ST SE, MINNEAPOLIS, MN 55455-0222
(612) 624-1444
(612) 677-3211
Mailing address
410 CHURCH ST SE, MINNEAPOLIS, MN 55455-0222
(612) 624-1444
(612) 677-3211
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3071
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3071
LICENSED PROFESSIONAL CLINICAL COUNSELOR
MN
Enumeration date
01/31/2022
Last updated
09/17/2025
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