Individual
NICOLE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 MARKET ST STE 41, BLOOMSBURG, PA 17815-2601
(570) 317-0734
Mailing address
1000 MARKET ST STE 41, BLOOMSBURG, PA 17815-2601
(570) 317-0734
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
06/03/2019
Last updated
05/15/2024
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