Provider Demographics
NPI:1851545586
Name:KINDT, NICOLE MELYNN (MS)
Entity Type:Individual
Prefix:MISS
First Name:NICOLE
Middle Name:MELYNN
Last Name:KINDT
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 AMBER WAY
Mailing Address - Street 2:
Mailing Address - City:BUTTE
Mailing Address - State:MT
Mailing Address - Zip Code:59701-4072
Mailing Address - Country:US
Mailing Address - Phone:406-490-2863
Mailing Address - Fax:
Practice Address - Street 1:1050 S MONTANA ST
Practice Address - Street 2:
Practice Address - City:BUTTE
Practice Address - State:MT
Practice Address - Zip Code:59701-2840
Practice Address - Country:US
Practice Address - Phone:406-533-2973
Practice Address - Fax:406-782-2045
Is Sole Proprietor?:No
Enumeration Date:2008-11-07
Last Update Date:2008-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor