Individual provider · Type 1 NPI
Nicole Vandelinde
Professional Counselor · O Fallon, IL
NPI number
1629683743
Active
Practice location
1805 Bowler Rd
O Fallon, IL 62269-7005
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 2020019554 (IL) |
Professional Counselor: Definition to come...
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About NPI 1629683743
Nicole Vandelinde's National Provider Identifier is 1629683743, issued on Sep 15, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in O Fallon, IL. The record was last updated on Sep 15, 2020.