| Nicole Davis, MSW, LICSW, LADC | |
|
940 Hastings Ave, St Paul Park, MN 55071-1315 | |
| (651) 354-0430 | |
| Not Available |
| Full Name | Nicole Davis |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 940 Hastings Ave, St Paul Park, Minnesota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457846313 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 27532 (Minnesota) | Primary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 304395 (Minnesota) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Davis, MSW, LICSW, LADC 940 Hastings Ave, St Paul Park, MN 55071-1315 Ph: (612) 608-9068 | Nicole Davis, MSW, LICSW, LADC 940 Hastings Ave, St Paul Park, MN 55071-1315 Ph: (651) 354-0430 |
Carolynne Sandbakken, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 950 9th Ave, St Paul Park, MN 55071 Phone: 651-686-0518 | |
Kaitlyn Pijanowski, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 445 Broadway Ave Ste A, St Paul Park, MN 55071 Phone: 630-699-4610 |