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Individual
MRS. NICHOLE BEDORE
Active
Individual
MRS. NICHOLE BEDORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC, LMHC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
180010852
IL
101YM0800X
Mental Health Counselor
Primary
LH60801971
WA
101YP2500X
Professional Counselor
180010852
IL
Other
Enumeration date
05/23/2017
Last updated
10/30/2018
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