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Individual
NICOLE SIMON
Active
Individual
NICOLE SIMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P2106004
AR
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700233558
—
AR
Enumeration date
05/23/2016
Last updated
04/04/2024
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