Nickole R Visan, in Ellendale, DE - Counselor

Nickole R Visan, is a Counselor - Addiction (substance Use Disorder) based in Ellendale, Delaware. Nickole R Visan is licensed to practice in * (Not Available) (license number ) and her current practice location is 18514 Pentecostal St, Ellendale, Delaware. She can be reached at her office (for appointments etc.) via phone at (302) 424-8080.

NPI number for Nickole R Visan is 1447590351 and her current mailing address is 18514 Pentecostal St, Ellendale, Delaware. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1447590351.

Contact Information

	Nickole R Visan,
	18514 Pentecostal St, Ellendale, DE 19941-3358
	(302) 424-8080
	Not Available

Healthcare Provider's Profile

Full Name	Nickole R Visan
Gender	Female
Speciality	Counselor - Addiction (substance Use Disorder)
Location	18514 Pentecostal St, Ellendale, Delaware
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1447590351
Provider Enumeration Date: 03/01/2013
Last Update Date: 03/01/2013

Medical Identifiers

Medical identifiers for Nickole R Visan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447590351	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	(* (Not Available))	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nickole R Visan is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Nickole R Visan, 18514 Pentecostal St, Ellendale, DE 19941-3358 Ph: (302) 424-8080	Nickole R Visan, 18514 Pentecostal St, Ellendale, DE 19941-3358 Ph: (302) 424-8080

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Counselor in Ellendale, DE

Kenneth Ray Betts, LPCMH Counselor Medicare: Not Enrolled in Medicare Practice Location: 12649 Dupont Blvd, Ellendale, DE 19941 Phone: 302-424-7425
Threasa D Brittingham, Counselor Medicare: Not Enrolled in Medicare Practice Location: 18514 Pentecostal St, Ellendale, DE 19941 Phone: 302-422-4229
Jennifer E Gordon, Counselor Medicare: Not Enrolled in Medicare Practice Location: 13726 S Old State Rd, Ellendale, DE 19941 Phone: 302-424-2080
Robbin Myerberg, Counselor Medicare: Not Enrolled in Medicare Practice Location: 13726 S Old State Rd, Ellendale, DE 19941 Phone: 302-424-8080
Jennifer Dize, Counselor Medicare: Not Enrolled in Medicare Practice Location: 700 Main St, Ellendale, DE 19941 Phone: 302-424-5680
Mrs. Karen Hastings Mcgroerty, LPCMH Counselor Medicare: Not Enrolled in Medicare Practice Location: 12649 Dupont Blvd, Ellendale, DE 19941 Phone: 302-422-1530 Fax: 302-422-1534
Yauana Beatty, Counselor Medicare: Not Enrolled in Medicare Practice Location: 18514 Pentecostal St, Ellendale, DE 19941 Phone: 302-424-8080

Nickole R Visan, - Counselor in Ellendale, DE