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Individual
NICOLE WICKS
Active
Individual
NICOLE WICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Credential
MA, LPC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
178.021518
IL
101YM0800X
Mental Health Counselor
178.021518
IL
Other
Enumeration date
08/19/2024
Last updated
07/10/2025
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