Individual provider · Type 1 NPI
Nicole Morean Nackord, MA
Mental Health Counselor · Petaluma, CA
NPI number
1750718326
Active
Practice location
365 Kuck Ln
Petaluma, CA 94952-9606
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | IMF67996 (CA) |
| Counselor | 101Y00000X | IMF67996 (CA) |
| Marriage & Family Therapist | 106H00000X | IMF67996 (CA) |
Mental Health Counselor: Definition to come...
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About NPI 1750718326
Nicole Morean Nackord, MA's National Provider Identifier is 1750718326, issued on Sep 27, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Petaluma, CA. The record was last updated on Nov 14, 2014.