Provider Demographics
NPI:1194283945
Name:RAMSTAD, NICOLE J (LPCC)
Entity type:Individual
Prefix:
First Name:NICOLE
Middle Name:J
Last Name:RAMSTAD
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:NICOLE
Other - Middle Name:J
Other - Last Name:DICKISON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPCC
Mailing Address - Street 1:2835 S SERVICE DR STE 103
Mailing Address - Street 2:
Mailing Address - City:RED WING
Mailing Address - State:MN
Mailing Address - Zip Code:55066-1835
Mailing Address - Country:US
Mailing Address - Phone:651-327-2270
Mailing Address - Fax:651-327-2272
Practice Address - Street 1:2835 S SERVICE DR STE 103
Practice Address - Street 2:
Practice Address - City:RED WING
Practice Address - State:MN
Practice Address - Zip Code:55066-1835
Practice Address - Country:US
Practice Address - Phone:651-327-2270
Practice Address - Fax:651-327-2270
Is Sole Proprietor?:No
Enumeration Date:2019-03-11
Last Update Date:2024-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional