Polen, Nicole Catherine

Polen, Nicole Catherine is an individual health care provider with primary practice located at 5030 El Camino Ave , Carmichael CA 95608-4650. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Polen, Nicole Catherine can be contacted via phone (916) 609-5132.

Contact Information

Primary practice address
5030 El Camino Ave Carmichael CA 95608-4650
Phone: (916) 609-5132
Fax: (916) 609-5161
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1144363938
LBN Legal business name Polen, Nicole Catherine
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2007
Last updated Jul 8th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1144363938 NPPES
California Other 7372 SACRAMENTO COUNTY PROVIDE

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