Individual provider · Type 1 NPI
Nicole Jean De Vera
Mental Health Counselor · Rochester, MN
NPI number
1164070397
Active
Practice location
3253 19th St NW Ste 1
Rochester, MN 55901-6794
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
3 other providers at this address
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About NPI 1164070397
Nicole Jean De Vera's National Provider Identifier is 1164070397, issued on Aug 30, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Rochester, MN. The record was last updated on Aug 30, 2019.