Individual
NICOLE FARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS/EDS, LCPC, NCC
Contact information
Practice address
18221-D FLOWER HILL WAY, GAITHERSBURG, MD 20879-5333
(301) 219-8559
Mailing address
12301 SILVERGATE WAY # 906E, GERMANTOWN, MD 20874-2548
(301) 219-8559
(301) 731-2082
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC3320
MD
Other
Enumeration date
07/01/2009
Last updated
02/08/2010
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