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Individual
NICOLE WEAVER
Active
Individual
NICOLE WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHP, PLADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
P-900
NE
101YM0800X
Mental Health Counselor
Primary
3917
NE
Other
Enumeration date
09/01/2009
Last updated
07/23/2012
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