Provider Demographics
NPI:1427804525
Name:NOREN, NICOLE MARIE (MA LADC LPCC)
Entity type:Individual
Prefix:MRS
First Name:NICOLE
Middle Name:MARIE
Last Name:NOREN
Suffix:
Gender:F
Credentials:MA LADC LPCC
Other - Prefix:MISS
Other - First Name:NICOLE
Other - Middle Name:MARIE
Other - Last Name:BEIMERT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA LADC LPCC
Mailing Address - Street 1:29079 DAHL PL
Mailing Address - Street 2:
Mailing Address - City:CHISAGO CITY
Mailing Address - State:MN
Mailing Address - Zip Code:55013-9449
Mailing Address - Country:US
Mailing Address - Phone:651-431-5337
Mailing Address - Fax:
Practice Address - Street 1:29079 DAHL PL
Practice Address - Street 2:
Practice Address - City:CHISAGO CITY
Practice Address - State:MN
Practice Address - Zip Code:55013-9449
Practice Address - Country:US
Practice Address - Phone:651-431-5337
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-29
Last Update Date:2024-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN305169101YA0400X
MN4271101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)