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Individual
NICOLE CREVELING
Active
Individual
NICOLE CREVELING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC018767
PA
103K00000X
Behavior Analyst
BH000164
PA
Other
Enumeration date
05/06/2014
Last updated
11/17/2025
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