Individual provider · Type 1 NPI

Nicole Lynn Ebener

Mental Health Counselor · Rock Island, IL

NPI number 1275013252 Active

Practice location

2701 17th St
Rock Island, IL 61201-5351

Mailing address

2601 E Pleasant St
Davenport, IA 52803-3448

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1275013252

Nicole Lynn Ebener's National Provider Identifier is 1275013252, issued on Aug 18, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Rock Island, IL. The record was last updated on Aug 18, 2018.