Carly Jane Nicolau
Carly Jane Nicolau is a Peer Specialist in Bend, Oregon. Practices as a sole proprietor. Licensed in Oregon.
- Licensed in
- OR
- In the registry since
- 2023
Practice location Address checks out
23 NW Greenwood AveBend, OR 97703-2078
Phone: (541) 383-4293
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X · Licence 23-CRM-2333 (OR) |
|---|
Record details
| NPI number | 1841076742 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | September 6, 2023 |
| Last updated in NPPES | September 6, 2023 |
| Certification date | September 6, 2023 |
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