Individual
NICOLE MARIE WEISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1540 INDEPENDENCE DR, NORTHFIELD, MN 55057-4863
(701) 729-8471
Mailing address
1540 INDEPENDENCE DR, NORTHFIELD, MN 55057-4863
(701) 729-8471
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1759
ND
101YA0400X
Addiction (Substance Use Disorder) Counselor
307551
MN
101YP2500X
Professional Counselor
Primary
4701
MN
101YP2500X
Professional Counselor
836-6-1-15-319
ND
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
08/06/2013
Last updated
03/17/2026
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