Runyan, Nicole

Runyan, Nicole is an individual health care provider with primary practice located at 1619 Dayton Ave Ste 325 , Saint Paul MN 55104-6495. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Runyan, Nicole can be contacted via phone (651) 300-2395.

Contact Information

Primary practice address
1619 Dayton Ave Ste 325 Saint Paul MN 55104-6495
Phone: (651) 300-2395
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 303180 Minnesota
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 3550 Minnesota

Profile Details

NPI number 1265794051
LBN Legal business name Runyan, Nicole
Credentials MA, LPCC, LADC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2012
Last updated Oct 2nd, 2022 - 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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