Individual
NICOLE ISABELL PALACIOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
133 SMITH WAY UNIT C, SOLDOTNA, AK 99669-8077
(907) 531-6047
Mailing address
PO BOX 2653, SOLDOTNA, AK 99669-2653
(907) 531-6047
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ACD.0001301
CO
1041C0700X
Clinical Social Worker
Primary
154220
AK
1041C0700X
Clinical Social Worker
CSW.09926216
CO
Other
Enumeration date
02/20/2018
Last updated
10/04/2023
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