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Individual
NIKOLE FETHIERE
Active
Individual
NIKOLE FETHIERE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., ED.S., LMHC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH13730
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016249000
—
FL
01
—
13730
STATE MH LICENSE
FL
Enumeration date
07/22/2011
Last updated
03/11/2019
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