Individual provider · Type 1 NPI

Elliot Cole Nuckols, MPS

Mental Health Counselor · Woodbury, MN

NPI number 1306509302 Active

Practice location

700 Commerce Dr Ste 250
Woodbury, MN 55125-5407

Call (270) 268-1835 Map

Mailing address

10 E 18th St Unit 615
Minneapolis, MN 55403-4094

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X3675 (MN)

Mental Health Counselor: Definition to come...

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About NPI 1306509302

Elliot Cole Nuckols, MPS's National Provider Identifier is 1306509302, issued on Oct 16, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Woodbury, MN. The record was last updated on Mar 29, 2023.