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NPI Code Detail

MEDICARE: NICOLETTE BANES

MEDICARE: NICOLETTE BANES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor
2101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1568036093
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLETTE BANES
Provider Business Mailing Address
First Line : 2240 9TH ST
Second Line :
City : CORALVILLE
State : IA
Zip : 52241-1575
Country : US
Telephone Number : 319-800-5564
Fax Number :
Provider Business Practice Location Address
First Line : 2240 9TH ST
Second Line :
City : CORALVILLE
State : IA
Zip : 52241-1575
Country : US
Telephone Number : 319-800-5564
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2021
Last Update Date : 04/24/2023

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1881263739 — MRS. ABIGAIL ROSE VANPATTEN-FREEMAN TLMHC
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1649944257 — MARGARET MORRIS TLMHC
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Directions to “ NICOLETTE BANES ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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