Individual provider · Type 1 NPI

Nicole Conrad, 106S00000X

Mental Health Counselor · Fort Wayne, IN

NPI number 1922654722 Active

About NPI 1922654722

Nicole Conrad, 106S00000X's National Provider Identifier is 1922654722, issued on Aug 16, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fort Wayne, IN. The record was last updated on Nov 12, 2025.