Individual
NICOLE LADOUCEUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
4575 32ND AVE S STE 3, GRAND FORKS, ND 58201-3305
(701) 740-4200
Mailing address
414 OAK ST, GRAND FORKS, ND 58201-4454
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1028-9-15-19-472
ND
101YP2500X
Professional Counselor
Primary
1028-9-15-19-472
ND
Other
Enumeration date
08/22/2024
Last updated
11/06/2024
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