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Miss Nicole A Poole, MED
Mental Health Counselor in Corvallis, Oregon
NPI 1457664484

Nicole A Poole is a Mental Health Counselor based in Corvallis, OR and is specialized in Mental Health. Nicole A Poole practices in Corvallis, OR and has the professional credentials of MED. The NPI Number for Nicole A Poole is 1457664484 and holds a License No. 0530 (Oregon).

The current practice location address for Nicole A Poole is 4455 Ne Highway 20, Corvallis, OR and can be reached out via phone at 541-757-1852.

Location: 4455 Ne Highway 20, Corvallis, OR, 97330-9695
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457664484
Provider Name
Nicole A Poole
Credential
MED
Provider Entity Type
Individual
Gender
Female
Address
4455 Ne Highway 20, Corvallis, OR, 97330-9695
Phone Number
541-757-1852
Fax Number
Provider Enumeration Date
07/20/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
101YM0800X 01 OR MENTAL HEALTH
institution
Provider Business Practice Location Address Details
Address
4455 Ne Highway 20
City
Corvallis
State
Oregon
Zip
97330-9695
Phone Number
541-757-1852
Fax Number
person
Provider Business Mailing Address Details
Address
4455 Ne Highway 20
City
Corvallis
State
Oregon
Zip
97330-9695
Phone Number
541-757-1852
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
0530 (Oregon)
Definition
Definition to come...
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