Nicodemus Therapeutic Services Pllc
NPI #1063113108 in Minot, North Dakota
Provider Information
- NPI Number
- 1063113108
- Entity Type
- Organization
- Organization Name
- Nicodemus Therapeutic Services Pllc
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Mar 15, 2023
- Last Updated
- Dec 13, 2023
Practice Location
- Address
- 525 31ST AVE SW
- City
- Minot
- State
- North Dakota
- ZIP Code
- 58701-7036
- Phone
- (701) 355-6800
Authorized Official
- Name
- MR. TIMOTHY SCOTT STARKS, LCSW
- Title
- THERAPIST
- Phone
- (701) 500-5430
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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