Individual provider · Type 1 NPI

Nicole Teresa Ciavarella

Mental Health Counselor · White Bear Lake, MN

NPI number 1730860032 Active

Practice location

4756 Banning Ave
White Bear Lake, MN 55110-3205

Call (845) 826-1190 Map

Mailing address

523 Jackson St Unit 311
St. Paul, MN 55101-2469

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1730860032

Nicole Teresa Ciavarella's National Provider Identifier is 1730860032, issued on Jul 28, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in White Bear Lake, MN. The record was last updated on Jul 28, 2023.