MEDICARE: MISS NICOLE MARIE REIMERS LMFT

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
1	106H00000X	Marriage & Family Therapist	MFC 46512	CA

General Provider Information

NPI Number	:	1952514531
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS NICOLE MARIE REIMERS LMFT

Provider Business Mailing Address
First Line	:	PO BOX 3461
Second Line	:
City	:	CHICO
State	:	CA
Zip	:	95927-3461
Country	:	US
Telephone Number	:	530-816-2545
Fax Number	:

Provider Business Practice Location Address
First Line	:	2575 FOREST AVE
Second Line	:
City	:	CHICO
State	:	CA
Zip	:	95928-7686
Country	:	US
Telephone Number	:	530-591-1728
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/08/2007
Last Update Date	:	08/30/2023

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