Individual
NICHOLAS GOELZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14 4TH AVE SE, NEW LONDON, MN 56273-9558
(320) 354-4200
Mailing address
PO BOX 321, NEW LONDON, MN 56273-0321
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
78031
MN
Other
Enumeration date
03/13/2023
Last updated
03/13/2023
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