Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nicole Lea

Individual provider Art Therapist · NPI 1750966560

Nicole Lea is an Art Therapist in Petaluma, California. Practices as a sole proprietor. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
2

Practice location Address checks out

700 Bantam Way
Petaluma, CA 94952-1709
Phone: (707) 778-4724
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X
Art Therapist Taxonomy 221700000X

Record details

NPI number1750966560
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 12, 2021
Last updated in NPPESOctober 23, 2024
Certification dateOctober 23, 2024
Mailing address96 Laurel Dr, Fairfax, CA 94930-2144

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