Individual
NICOLLE DIRKSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
202 N CEDAR AVE STE 1, OWATONNA, MN 55060-2306
(605) 359-1025
Mailing address
202 N CEDAR AVE STE 1, OWATONNA, MN 55060-2306
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/16/2023
Last updated
02/16/2023
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