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Individual
MRS. NICOLE LOCKETT
Active
Individual
MRS. NICOLE LOCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.164320
OH
171M00000X
Case Manager/Care Coordinator
Primary
—
—
171W00000X
Contractor
—
—
405300000X
Prevention Professional
OCPSA.161410
OH
Other
Enumeration date
06/26/2014
Last updated
05/14/2019
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