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DENISE RENEE NICOLAI

Addiction (Substance Use Disorder) >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1518392273

Individual Registrant:
 DENISE RENEE NICOLAI 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
18514 PENTECOSTAL ST  ELLENDALE, DE 19941-3358 US
Tel: 302-424-8080  Fax: --

Contact information for business:
18514 PENTECOSTAL ST  ELLENDALE, DE 19941-3358 US
Tel: 302-424-8080  Fax: --

Registration Information:
NPI: 1518392273
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YA0400XBehavioral Health & Social Service Providers
Counselor
Addiction (Substance Use Disorder)

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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