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Nicole Teresa Ciavarella
Mental Health Counselor in White Bear Lake, Minnesota
NPI 1730860032

Nicole Teresa Ciavarella is a Mental Health Counselor based in Saint Paul, MN and is specialized in Mental Health. Nicole Teresa Ciavarella practices in White Bear Lake, MN. The NPI Number for Nicole Teresa Ciavarella is 1730860032 and holds a License No. (Minnesota).

The current practice location address for Nicole Teresa Ciavarella is 4756 Banning Ave, White Bear Lake, MN and can be reached out via phone at 845-826-1190.

Location: 4756 Banning Ave, White Bear Lake, MN, 55101-2469
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730860032
Provider Name
Nicole Teresa Ciavarella
Credential
Provider Entity Type
Individual
Gender
Female
Address
4756 Banning Ave, White Bear Lake, MN, 55101-2469
Phone Number
845-826-1190
Fax Number
Provider Enumeration Date
07/28/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4756 Banning Ave
City
White Bear Lake
State
Minnesota
Zip
55110-3205
Phone Number
845-826-1190
Fax Number
person
Provider Business Mailing Address Details
Address
4756 Banning Ave
City
White Bear Lake
State
Minnesota
Zip
55110-3205
Phone Number
845-826-1190
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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