| Doctor Name: | MRS. NICOLE SIMONE MAKOWKA |
| NPI Number: | 1043467962 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.A,, MFT INTERN |
| License Number: | IMF 57217 |
| Business Practice Address: | 13130 Burbank Blvd. Sherman Oaks, CA - 91401 |
| Business Phone Number: | 8189475562 |
| Business Fax Number: | 8189882392 |
| Mailing Address: | 13130 Burbank Blvd., SHERMAN OAKS |
| State: | CA |
| Postal Code: | 91401 |
| Phone Number: | 8189475562 |
| Fax Number: | 8189882392 |
| NPI Enumeration Date: | 08/21/2008 |
| NPI Last Update Date: | 02/01/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | IMF 57217 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |