Individual provider · Type 1 NPI

Nicole M. Runyan, LPCC, LADC

Mental Health Counselor · Minneapolis, MN

NPI number 1265794051 Active

Practice location

914 S 8th St
Minneapolis, MN 55404-1204

Mailing address

701 Park Ave
Minneapolis, MN 55415-1623

Other practice locations

  • 1619 Dayton Ave Ste 325, St. Paul, MN 55104-6495 · (651) 300-2395
  • 701 Park Ave, Minneapolis, MN 55415-1623 · (612) 873-3000

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X303180 (MN)
Mental Health Counselor Primary 101YM0800X3550 (MN)

Mental Health Counselor: Definition to come...

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About NPI 1265794051

Nicole M. Runyan, LPCC, LADC's National Provider Identifier is 1265794051, issued on Jun 8, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Minneapolis, MN. The record was last updated on Jan 29, 2025.