Individual
NICOLE BREVIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
905 MONTGOMERY ST, DECORAH, IA 52101-2325
(563) 382-3649
(563) 382-8183
Mailing address
PO BOX 349, DECORAH, IA 52101-0349
(563) 382-3649
(563) 382-8183
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
093810
IA
Other
Enumeration date
05/21/2019
Last updated
05/21/2019
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