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Individual
NICOLE QUENNEVILLE
Active
Individual
NICOLE QUENNEVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
E.1300209-SUPV
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCDCIII.141170
OH
101YM0800X
Mental Health Counselor
LH61512593
WA
101YM0800X
Mental Health Counselor
LH61612593
WA
101YP2500X
Professional Counselor
LICDC.161597
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0214186
—
OH
Enumeration date
08/08/2016
Last updated
04/27/2026
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