Individual provider · Type 1 NPI

Nicole Marie-Ange Overby, LMFT, LADC

Marriage & Family Therapist · Rogers, MN

NPI number 1689184079 Active

Practice location

14040 Northdale Blvd Ste 100
Rogers, MN 55374-9612

Call (763) 488-4100 Map

Fax (763) 488-4105

Mailing address

1160 Lake St N
Big Lake, MN 55309-9499

Other practice locations

2807 Brookdale Dr, Brooklyn Park, MN 55444-1844 · (651) 348-5652

Specialties and licenses

Taxonomy	Code	License
Addiction (Substance Use Disorder) Counselor	101YA0400X	304650 (MN)
Marriage & Family Therapist Primary	106H00000X	3404 (MN)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1689184079

Nicole Marie-Ange Overby, LMFT, LADC's National Provider Identifier is 1689184079, issued on Oct 11, 2017. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Rogers, MN. The record was last updated on Aug 8, 2019.