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Individual
NICOLE VANN
Active
Individual
NICOLE VANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QMHA, CRM, CADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
T-24-3923
OR
101YM0800X
Mental Health Counselor
Primary
24-QMHA-I-004803
OR
Other
Enumeration date
04/23/2025
Last updated
04/23/2025
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