Individual
NICOLE TERESA CIAVARELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4756 BANNING AVE, WHITE BEAR LAKE, MN 55110-3205
(845) 826-1190
Mailing address
523 JACKSON ST UNIT 311, SAINT PAUL, MN 55101-2469
(845) 826-1190
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/28/2023
Last updated
07/28/2023
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