Individual
NICOLE BILLINGSLEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QMHP-T
Contact information
Practice address
348 WASHINGTON ST APT 5, PORTSMOUTH, VA 23704-2446
(716) 450-7770
Mailing address
348 WASHINGTON ST APT 5, PORTSMOUTH, VA 23704-2446
(716) 450-7770
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0734005062
VA
Other
Enumeration date
06/05/2024
Last updated
06/05/2024
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