Nicole R Wildroudt, LICDC is an addiction (substance use disorder) counselor in Dayton, OH. Nicole R Wildroudt, LICDC NPI is 1235526096. The provider is registered as an individual entity type. The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
601 S EDWIN C MOSES BLVD SAMARITAN BEHAVIORAL HEALTH, INC. 1ST FLOOR, NW BLDG DAYTON, OH ZIP 45417-424 Phone: (937) 734-9482 Fax: (937) 224-1625
The enumeration date for this NPI number is 4/20/2015 and was last updated on 10/13/2020.
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.
This page was last updated on: 3/30/2025
NPI Synchronization or Removal
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