Individual
DANIELE NOLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
211 N MADISON ST STE 10, TUPELO, MS 38804-3807
(662) 610-5501
Mailing address
340 ROBINS ST, TUPELO, MS 38804-3712
(662) 610-5501
(662) 391-4116
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
2901
MS
101YM0800X
Mental Health Counselor
Primary
2901
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200003312
—
MS
Enumeration date
09/29/2020
Last updated
06/12/2025
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