Individual
NICOLE THOMS FUENTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4210 COLUMBIA RD, AUGUSTA, GA 30907-0401
(706) 750-8906
Mailing address
2734 MILLEDGEVILLE RD, AUGUSTA, GA 30904-5165
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/28/2025
Last updated
07/28/2025
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