Nicole Wolters
Nicole Wolters is a Mental Health Counselor in Normal, Illinois. 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
1100 Beech St Bldg 7 Ste 7Normal, IL 61761-4616
Phone: (815) 893-9731
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Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X |
|---|---|
| Mental Health Counselor | Taxonomy 101YM0800X |
Record details
| NPI number | 1457940140 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | January 16, 2021 |
| Last updated in NPPES | April 25, 2022 |
| Certification date | April 25, 2022 |
| Mailing address | 1202 Maplewood Dr, Normal, IL 61761-3937 |
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