Individual
MISS NICHOLE RAE GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CO 61217566
Contact information
Practice address
720 S MAIN ST, YERINGTON, NV 89447-4217
(775) 463-6597
Mailing address
715 SUNNY LN UNIT D, FERNLEY, NV 89408-9297
(775) 400-0299
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
08192-I
NV
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO61217566
WA
Other
Enumeration date
07/14/2022
Last updated
02/05/2026
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