Provider Demographics
NPI:1619368230
Name:STEINERT, NICOLE (MA, LPCC)
Entity Type:Individual
Prefix:
First Name:NICOLE
Middle Name:
Last Name:STEINERT
Suffix:
Gender:F
Credentials:MA, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:659 BIELENBERG DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55125-1706
Mailing Address - Country:US
Mailing Address - Phone:952-903-1335
Mailing Address - Fax:651-259-9770
Practice Address - Street 1:659 BIELENBERG DR
Practice Address - Street 2:SUITE 200
Practice Address - City:WOODBURY
Practice Address - State:MN
Practice Address - Zip Code:55125-1706
Practice Address - Country:US
Practice Address - Phone:952-903-1335
Practice Address - Fax:651-259-9770
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-18
Last Update Date:2015-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNCC01075101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor