Individual provider · Type 1 NPI

Nicole Andromeda Surran, R-DMT

Counselor · Tucson, AZ

NPI number 1790546737 Active

Practice location

1717 N Tucson Blvd
Tucson, AZ 85716-3074

Specialties and licenses

TaxonomyCodeLicense
Dance Therapist 225600000X2895
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

10 other providers at this address

Other counselor providers in Tucson

See all in Tucson →

About NPI 1790546737

Nicole Andromeda Surran, R-DMT's National Provider Identifier is 1790546737, issued on Jan 17, 2024. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Tucson, AZ. The record was last updated on Jan 17, 2024.