Individual
NICOLE S ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
300 45TH ST S STE 318, FARGO, ND 58103-6511
(646) 204-2295
Mailing address
30 3RD AVE APT 920, BROOKLYN, NY 11217-2388
(404) 500-9909
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
01/03/2024
Last updated
01/03/2024
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