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Individual
NICOLE SKINNION
Active
Individual
NICOLE SKINNION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
IL
1041C0700X
Clinical Social Worker
114883
TX
1041C0700X
Clinical Social Worker
Primary
149.025002
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1376154302
SAGE THERAPY CHICAGO
—
Enumeration date
10/04/2021
Last updated
09/22/2026
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