Nicole Jean De Vera
Counselor, Mental Health in Rochester, MN. Individual provider (NPI-1).
NPI number1164070397
StatusActive
Last updated in NPPESAug 30, 2019
Details
- NPI
- 1164070397
- Entity type
- Individual (NPI-1)
- Name
- Nicole Jean De Vera
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 30, 2019
- Last updated
- Aug 30, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
3253 19th St Nw Ste 1Rochester, MN 55901-6794
Phone 507-218-2424
Mailing address
3253 19th St Nw Ste 1Rochester, MN 55901-6794
Phone 507-218-2424
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