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Nicole Kavita Salzl
Addiction (Substance Use Disorder) Counselor in Andover, Minnesota
NPI 1528640679

Nicole Kavita Salzl is an Addiction (Substance Use Disorder) Counselor based in Coon Rapids, MN and is specialized in Addiction (Substance Use Disorder). Nicole Kavita Salzl practices in Andover, MN. The NPI Number for Nicole Kavita Salzl is 1528640679 and holds a License No. 305449 (Minnesota).

The current practice location address for Nicole Kavita Salzl is 2705 Bunker Lake Blvd Nw, Andover, MN and can be reached out via phone at 612-900-0233.

Location: 2705 Bunker Lake Blvd Nw, Andover, MN, 55448-1102
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528640679
Provider Name
Nicole Kavita Salzl
Credential
Provider Entity Type
Individual
Gender
Female
Address
2705 Bunker Lake Blvd Nw, Andover, MN, 55448-1102
Phone Number
612-900-0233
Fax Number
Provider Enumeration Date
04/27/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2705 Bunker Lake Blvd Nw
City
Andover
State
Minnesota
Zip
55304-3784
Phone Number
612-900-0233
Fax Number
person
Provider Business Mailing Address Details
Address
2705 Bunker Lake Blvd Nw
City
Andover
State
Minnesota
Zip
55304-3784
Phone Number
612-900-0233
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
305449 (Minnesota)
Definition
Definition to come...
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