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Individual

NICOLE ELIZABETH DEWEESE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, LPCC

Contact information

Practice address
3333 UNIVERSITY AVE SE, MINNEAPOLIS, MN 55414-3325
(612) 861-1688
(612) 861-6050
Mailing address
3333 UNIVERSITY AVE SE, MINNEAPOLIS, MN 55414-3325
(612) 861-1688
(612) 861-6050

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
CC02004
MN
101YP2500X
Professional Counselor
Primary
CC02004
MN

Other

Enumeration date
12/11/2018
Last updated
02/19/2025
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