Nicole Joy Vatterrodt, LCSW

NPI #1225357213 in Hayden, Idaho

Provider Information

NPI Number: 1225357213
Entity Type: Individual
Name: Nicole Joy Vatterrodt, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: May 31, 2010
Last Updated: Jun 7, 2023

Practice Location

Address: 13403 N GOVERNMENT WAY STE 319
City: Hayden
State: Idaho
ZIP Code: 83835-8905
Phone: (480) 980-5703

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary
Social Worker	104100000X

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