Individual
MRS. COURTENEY NICKODEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPCC
Contact information
Practice address
501 DARBY CREEK RD STE 11, LEXINGTON, KY 40509-1605
(859) 338-0466
Mailing address
501 DARBY CREEK RD STE 11, LEXINGTON, KY 40509-1605
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
246098
KY
Other
Enumeration date
01/21/2019
Last updated
03/01/2021
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