Individual
NICOLE DONNAL LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS, LADC-S
Contact information
Practice address
12 CIVIC CENTER PLZ STE 2116, MANKATO, MN 56001-7789
(507) 385-8773
(507) 345-1895
Mailing address
PO BOX 291, MANKATO, MN 56002-0291
(507) 385-8774
(507) 345-1895
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
304092
MN
Other
Enumeration date
05/14/2026
Last updated
05/14/2026
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