Doctor Name: | NOKOMIS PAIZ |
NPI Number: | 1518201110 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A, L.P.C.C. |
License Number: | 201202 |
Business Practice Address: | 425 7th St Nw Cass Lake, MN - 566333360 |
Business Phone Number: | 2183353281 |
Business Fax Number: | 2183354410 |
Mailing Address: | 425 7th St Nw, CASS LAKE |
State: | MN |
Postal Code: | 566333360 |
Phone Number: | 2183353281 |
Fax Number: | 2183354410 |
NPI Enumeration Date: | 11/20/2012 |
NPI Last Update Date: | 11/20/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 201202 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |