Ciavarella, Nicole Teresa

Ciavarella, Nicole Teresa is an individual health care provider with primary practice located at 4756 Banning Ave , White Bear Lake MN 55110-3205. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Ciavarella, Nicole Teresa can be contacted via phone (845) 826-1190.

Contact Information

Primary practice address
4756 Banning Ave White Bear Lake MN 55110-3205
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1730860032
LBN Legal business name Ciavarella, Nicole Teresa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2023
Last updated Jul 28th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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