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Individual

NICHOLAS ALLEN CULP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSYD

Contact information

Practice address
153 CESAR CHAVEZ ST, SAINT PAUL, MN 55107-2226
(651) 222-1816
Mailing address
1550 CHARLTON ST, #105, WEST SAINT PAUL, MN 55118-2947
(608) 770-2787

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
06/25/2012
Last updated
06/25/2012
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