person
Nickole R Visan
Addiction (Substance Use Disorder) Counselor in Ellendale, Delaware
NPI 1447590351

Nickole R Visan is an Addiction (Substance Use Disorder) Counselor based in Ellendale, DE and is specialized in Addiction (Substance Use Disorder). Nickole R Visan practices in Ellendale, DE. The NPI Number for Nickole R Visan is 1447590351 and holds a License No. (Delaware).

The current practice location address for Nickole R Visan is 18514 Pentecostal St, Ellendale, DE and can be reached out via phone at 302-424-8080.

Location: 18514 Pentecostal St, Ellendale, DE, 19941-3358
person
Provider Profile Details
NPI Number
1447590351
Provider Name
Nickole R Visan
Credential
Provider Entity Type
Individual
Gender
Female
Address
18514 Pentecostal St, Ellendale, DE, 19941-3358
Phone Number
302-424-8080
Fax Number
Provider Enumeration Date
03/01/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
18514 Pentecostal St
City
State
Zip
19941-3358
Phone Number
302-424-8080
Fax Number
person
Provider Business Mailing Address Details
Address
18514 Pentecostal St
City
State
Zip
19941-3358
Phone Number
302-424-8080
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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